| Shoreline Neurobehavioral Services, Llc | |
|
45 Cunningham Rd Freeport ME 04032-6312 | |
| (207) 934-5858 | |
| Not Available |
| Full Name | Shoreline Neurobehavioral Services, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 45 Cunningham Rd, Freeport, Maine |
| Authorized Official Name and Position | Jill Snow Girard (BILLING MANAGER) |
| Authorized Official Contact | 2079345858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreline Neurobehavioral Services, Llc 45 Cunningham Rd Freeport ME 04032-6312 Ph: (207) 934-5858 | Shoreline Neurobehavioral Services, Llc 45 Cunningham Rd Freeport ME 04032-6312 Ph: (207) 934-5858 |
| NPI Number | 1801202999 |
|---|---|
| Provider Enumeration Date | 07/09/2014 |
| Last Update Date | 07/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801202999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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