| Plymale Associates Pa | |
|
449 Forest Ave Ste 213 Portland ME 04101-2008 | |
| (207) 650-8677 | |
| Not Available |
| Full Name | Plymale Associates Pa |
|---|---|
| Speciality | Psychologist |
| Location | 449 Forest Ave Ste 213, Portland, Maine |
| Authorized Official Name and Position | Angela Griffiths (CLAIMS MANAGER) |
| Authorized Official Contact | 2077673696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Plymale Associates Pa 121 Emery St Portland ME 04102-3731 Ph: () - | Plymale Associates Pa 449 Forest Ave Ste 213 Portland ME 04101-2008 Ph: (207) 650-8677 |
| NPI Number | 1568934503 |
|---|---|
| Provider Enumeration Date | 12/31/2018 |
| Last Update Date | 12/11/2024 |
| Certification Date | 12/11/2024 |
| Medicare PECOS PAC ID | 3072852524 |
|---|---|
| Medicare Enrollment ID | O20190228001570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568934503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Frankie Eaton Plymale |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275735318 PECOS PAC ID: 5395780571 Enrollment ID: I20140808000484 |
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