| Neurobehavioral Services Of New England, Pc | |
|
335 Brighton Avenue Unit 201 Portland ME 04102-2374 | |
| (207) 662-8660 | |
| (207) 662-8492 |
| Full Name | Neurobehavioral Services Of New England, Pc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 335 Brighton Avenue, Portland, Maine |
| Authorized Official Name and Position | Philip Allen Morse (PRESIDENT) |
| Authorized Official Contact | 2076628660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurobehavioral Services Of New England, Pc 335 Brighton Avenue Unit 201 Portland ME 04102-2374 Ph: (207) 662-8660 | Neurobehavioral Services Of New England, Pc 335 Brighton Avenue Unit 201 Portland ME 04102-2374 Ph: (207) 662-8660 |
| NPI Number | 1922133115 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 12/22/2010 |
| Medicare PECOS PAC ID | 1951376755 |
|---|---|
| Medicare Enrollment ID | O20040826000365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922133115 | NPI | - | NPPES |
| 154880000 | Medicaid | ME |
| Provider Name | Howard Kunin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891858965 PECOS PAC ID: 7315979549 Enrollment ID: I20050908000303 |
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