| Swell Neuropsychology, LLC | |
|
188 State St Ste 407 Portland ME 04101-5157 | |
| (207) 977-4321 | |
| Not Available |
| Full Name | Swell Neuropsychology, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 188 State St Ste 407, Portland, Maine |
| Authorized Official Name and Position | Carly Lauren Clark (OWNER) |
| Authorized Official Contact | 2079774321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Swell Neuropsychology, LLC 188 State St Ste 407 Portland ME 04101-5157 Ph: (207) 977-4321 | Swell Neuropsychology, LLC 188 State St Ste 407 Portland ME 04101-5157 Ph: (207) 977-4321 |
| NPI Number | 1780536227 |
|---|---|
| Provider Enumeration Date | 02/09/2026 |
| Last Update Date | 02/09/2026 |
| Certification Date | 02/09/2026 |
| Medicare PECOS PAC ID | 0941785489 |
|---|---|
| Medicare Enrollment ID | O20260401003009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780536227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | () | Primary |
| Provider Name | Carly Lauren Clark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972321214 PECOS PAC ID: 1850876392 Enrollment ID: I20260401003075 |
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