| Center For Collaborative Psychotherapy Pa | |
|
80 Simpson Rd Saco ME 04072-9523 | |
| (207) 771-2001 | |
| (207) 771-2001 |
| Full Name | Center For Collaborative Psychotherapy Pa |
|---|---|
| Speciality | Psychologist |
| Location | 80 Simpson Rd, Saco, Maine |
| Authorized Official Name and Position | James H Rough (CO-PRESIDENT) |
| Authorized Official Contact | 2077712001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Collaborative Psychotherapy Pa 80 Simpson Rd Saco ME 04072-9523 Ph: (207) 771-2001 | Center For Collaborative Psychotherapy Pa 80 Simpson Rd Saco ME 04072-9523 Ph: (207) 771-2001 |
| NPI Number | 1841521747 |
|---|---|
| Provider Enumeration Date | 01/18/2010 |
| Last Update Date | 01/18/2010 |
| Medicare PECOS PAC ID | 4284998709 |
|---|---|
| Medicare Enrollment ID | O20180510000276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841521747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS1087 (Maine) | Primary |
| Provider Name | James Rough |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679694129 PECOS PAC ID: 3678637675 Enrollment ID: I20090205000108 |
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