| Portland Center For Counseling And Psychotherapy | |
|
178 Middle St Ste 501 Portland ME 04101-4075 | |
| (207) 772-1559 | |
| Not Available |
| Full Name | Portland Center For Counseling And Psychotherapy |
|---|---|
| Speciality | Psychologist |
| Location | 178 Middle St Ste 501, Portland, Maine |
| Authorized Official Name and Position | Joseph Melnick (OWNER) |
| Authorized Official Contact | 2077721559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Portland Center For Counseling And Psychotherapy 178 Middle St Ste 501 Portland ME 04101-4075 Ph: (207) 772-1559 | Portland Center For Counseling And Psychotherapy 178 Middle St Ste 501 Portland ME 04101-4075 Ph: (207) 772-1559 |
| NPI Number | 1558606285 |
|---|---|
| Provider Enumeration Date | 12/06/2012 |
| Last Update Date | 02/27/2013 |
| Medicare PECOS PAC ID | 2961645460 |
|---|---|
| Medicare Enrollment ID | O20130903000221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558606285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 0384 (Maine) | Primary |
| Provider Name | Joseph Melnick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679797591 PECOS PAC ID: 4587694542 Enrollment ID: I20050818000907 |
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