| Chrysalis Psychological Services | |
|
323 W Broadway Bangor ME 04401-5872 | |
| (207) 945-6287 | |
| Not Available |
| Full Name | Chrysalis Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 323 W Broadway, Bangor, Maine |
| Authorized Official Name and Position | James Lachlan Mcdonald (PSYCHOLOGIST PARTNER) |
| Authorized Official Contact | 2079456287 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chrysalis Psychological Services 323 W Broadway Bangor ME 04401-5872 Ph: (207) 945-6287 | Chrysalis Psychological Services 323 W Broadway Bangor ME 04401-5872 Ph: (207) 945-6287 |
| NPI Number | 1154330835 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 06/02/2008 |
| Medicare PECOS PAC ID | 6305879024 |
|---|---|
| Medicare Enrollment ID | O20050914000106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154330835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS784 (Maine) | Primary |
| Provider Name | James L Mcdonald |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316125727 PECOS PAC ID: 2062309016 Enrollment ID: I20040303000712 |
| Provider Name | Reesa M Greenberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548334279 PECOS PAC ID: 8426081142 Enrollment ID: I20090408000143 |
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