| Coastal Neurobehavioral Center, Pa | |
|
46 Main St Yarmouth ME 04096-6709 | |
| (207) 846-3023 | |
| (207) 846-3028 |
| Full Name | Coastal Neurobehavioral Center, Pa |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 46 Main St, Yarmouth, Maine |
| Authorized Official Name and Position | Howard R Kessler (PRESIDENT) |
| Authorized Official Contact | 2078463023 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Neurobehavioral Center, Pa 46 Main St Yarmouth ME 04096-6709 Ph: (207) 846-3023 | Coastal Neurobehavioral Center, Pa 46 Main St Yarmouth ME 04096-6709 Ph: (207) 846-3023 |
| NPI Number | 1679737035 |
|---|---|
| Provider Enumeration Date | 07/15/2008 |
| Last Update Date | 02/04/2010 |
| Medicare PECOS PAC ID | 9537203260 |
|---|---|
| Medicare Enrollment ID | O20100219000080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679737035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Howard R Kessler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386706802 PECOS PAC ID: 0244133296 Enrollment ID: I20040128000897 |
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