| Psychmaine | |
|
550 Forest Ave Ste 103 Portland ME 04101-1505 | |
| (207) 221-0635 | |
| (207) 221-0634 |
| Full Name | Psychmaine |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 550 Forest Ave Ste 103, Portland, Maine |
| Authorized Official Name and Position | Jonathan C Fellers (PSYCHIATRIST) |
| Authorized Official Contact | 2072210635 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychmaine 550 Forest Ave Ste 103 Portland ME 04101-1505 Ph: (207) 221-0635 | Psychmaine 550 Forest Ave Ste 103 Portland ME 04101-1505 Ph: (207) 221-0635 |
| NPI Number | 1891409025 |
|---|---|
| Provider Enumeration Date | 01/11/2023 |
| Last Update Date | 03/01/2023 |
| Certification Date | 03/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891409025 | NPI | - | NPPES |
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