| Outdoor Psychology, Llc | |
|
205 Ocean Avenue Portland ME 04103 | |
| (207) 808-0428 | |
| (207) 773-5512 |
| Full Name | Outdoor Psychology, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 205 Ocean Avenue, Portland, Maine |
| Authorized Official Name and Position | Annmarie Mica Lageroos (OWNER) |
| Authorized Official Contact | 2078080428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outdoor Psychology, Llc 31 Gorham Rd P.o. Box 181 Scarborough ME 04070 Ph: (207) 808-0428 | Outdoor Psychology, Llc 205 Ocean Avenue Portland ME 04103 Ph: (207) 808-0428 |
| NPI Number | 1326501701 |
|---|---|
| Provider Enumeration Date | 04/11/2019 |
| Last Update Date | 04/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326501701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Soul Sanctuary, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1519 Forest Ave, Portland, ME 04103 Phone: 617-690-9020 | |
Catholic Charities Maine Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 307 Congress Street, Portland, ME 04101 Phone: 207-781-8550 Fax: 207-781-8560 | |
Learningworks Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 Brackett St, Portland, ME 04102 Phone: 207-775-0105 Fax: 207-775-1392 | |
Dani Fazio Psychotherapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 57 Exchange St Ste 203, Portland, ME 04101 Phone: 207-618-6588 Fax: 207-203-6480 | |
Brighter Strides Aba Me Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Congress St, Portland, ME 04101 Phone: 732-806-0257 | |
Ingraham Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Monument Sq, Portland, ME 04101 Phone: 207-874-1055 Fax: 207-774-5901 | |
Alliance Residential Care, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 58 Boyd St Apt 501, Portland, ME 04101 Phone: 860-710-6770 |