| Kim B. Knowles,ph.d, Llc | |
|
15 Pleasant Hill Rd Ste 204 Scarborough ME 04074-9688 | |
| (207) 799-6166 | |
| Not Available |
| Full Name | Kim B. Knowles,ph.d, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 15 Pleasant Hill Rd Ste 204, Scarborough, Maine |
| Authorized Official Name and Position | Jennifer S Fournier (MANAGER) |
| Authorized Official Contact | 2073765405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim B. Knowles,ph.d, Llc Po Box 2121 South Portland ME 04116-2121 Ph: (207) 767-1260 | Kim B. Knowles,ph.d, Llc 15 Pleasant Hill Rd Ste 204 Scarborough ME 04074-9688 Ph: (207) 799-6166 |
| NPI Number | 1780939769 |
|---|---|
| Provider Enumeration Date | 07/17/2012 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 0143476515 |
|---|---|
| Medicare Enrollment ID | O20120820000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780939769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS977 (Maine) | Primary |
| Provider Name | Kim B Knowles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083677975 PECOS PAC ID: 6901837798 Enrollment ID: I20050822000780 |
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