| Mark G Kiefner Phd Llc | |
|
225 Commercial St Ste 403 Portland ME 04101-6603 | |
| (207) 400-2694 | |
| (207) 331-3249 |
| Full Name | Mark G Kiefner Phd Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 225 Commercial St Ste 403, Portland, Maine |
| Authorized Official Name and Position | Mark G Kiefner (OWNER) |
| Authorized Official Contact | 2074002694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark G Kiefner Phd Llc 98 Sheridan St Portland ME 04101-2626 Ph: (207) 400-2694 | Mark G Kiefner Phd Llc 225 Commercial St Ste 403 Portland ME 04101-6603 Ph: (207) 400-2694 |
| NPI Number | 1528539335 |
|---|---|
| Provider Enumeration Date | 12/06/2018 |
| Last Update Date | 12/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528539335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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