| Psychodiagnostic Services Of Southern Maine | |
|
491 Stevens Ave Portland ME 04103-2636 | |
| (207) 828-4026 | |
| Not Available |
| Full Name | Psychodiagnostic Services Of Southern Maine |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 491 Stevens Ave, Portland, Maine |
| Authorized Official Name and Position | Gregory Carbone (CHIEF OFFICER) |
| Authorized Official Contact | 2078284026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychodiagnostic Services Of Southern Maine 491 Stevens Ave Portland ME 04103-2636 Ph: () - | Psychodiagnostic Services Of Southern Maine 491 Stevens Ave Portland ME 04103-2636 Ph: (207) 828-4026 |
| NPI Number | 1619136983 |
|---|---|
| Provider Enumeration Date | 06/03/2008 |
| Last Update Date | 06/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619136983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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