| Karla L Diffin, Inc | |
|
3 Walcott St South Paris ME 04281-5924 | |
| (207) 330-1834 | |
| Not Available |
| Full Name | Karla L Diffin, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 3 Walcott St, South Paris, Maine |
| Authorized Official Name and Position | Karla L Diffin (OWNER) |
| Authorized Official Contact | 2073301834 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karla L Diffin, Inc Po Box 2074 Auburn ME 04211-2074 Ph: (207) 330-1834 | Karla L Diffin, Inc 3 Walcott St South Paris ME 04281-5924 Ph: (207) 330-1834 |
| NPI Number | 1679922306 |
|---|---|
| Provider Enumeration Date | 06/03/2016 |
| Last Update Date | 04/18/2019 |
| Medicare PECOS PAC ID | 1456638246 |
|---|---|
| Medicare Enrollment ID | O20170504000093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679922306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS1355 (Maine) | Primary |
| Provider Name | Karla L Diffin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295956480 PECOS PAC ID: 7315190121 Enrollment ID: I20130103000242 |
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