| Maine Child Psychology | |
|
14 Stonewall Way Falmouth ME 04105-2491 | |
| (207) 221-2631 | |
| (866) 611-6717 |
| Full Name | Maine Child Psychology |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 14 Stonewall Way, Falmouth, Maine |
| Authorized Official Name and Position | Glen Davis (PSYCHOLOGIST) |
| Authorized Official Contact | 2072212631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maine Child Psychology 14 Stonewall Way Falmouth ME 04105-2491 Ph: (207) 221-2631 | Maine Child Psychology 14 Stonewall Way Falmouth ME 04105-2491 Ph: (207) 221-2631 |
| NPI Number | 1760744601 |
|---|---|
| Provider Enumeration Date | 06/15/2012 |
| Last Update Date | 02/22/2022 |
| Certification Date | 02/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760744601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PS593 (Maine) | Primary |
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