| Geropsych Maine Llc | |
|
1582 Washington Ave Portland ME 04103-2023 | |
| (207) 331-4336 | |
| Not Available |
| Full Name | Geropsych Maine Llc |
|---|---|
| Speciality | Psychologist - Adult Development & Aging |
| Location | 1582 Washington Ave, Portland, Maine |
| Authorized Official Name and Position | Thomas Michael Meuser (EXECUTIVE DIRECTOR / PSYCHOLOGIST) |
| Authorized Official Contact | 2073314336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geropsych Maine Llc Po Box 11193 Portland ME 04104-7193 Ph: (207) 331-4336 | Geropsych Maine Llc 1582 Washington Ave Portland ME 04103-2023 Ph: (207) 331-4336 |
| NPI Number | 1043999592 |
|---|---|
| Provider Enumeration Date | 07/12/2023 |
| Last Update Date | 07/12/2023 |
| Certification Date | 07/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043999592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0700X | Psychologist - Adult Development & Aging | (* (Not Available)) | Primary |
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