Somerset Psychological Services Pa | |
7 Leavitt St Skowhegan ME 04976 | |
(207) 474-7190 | |
(207) 474-7117 |
Full Name | Somerset Psychological Services Pa |
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Speciality | Psychologist |
Location | 7 Leavitt St, Skowhegan, Maine |
Authorized Official Name and Position | Timothy C Mcfadden (PSYCHOLOGIST) |
Authorized Official Contact | 2074747190 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Somerset Psychological Services Pa 7 Leavitt St Po Box 928 Skowhegan ME 04976-1805 Ph: () - | Somerset Psychological Services Pa 7 Leavitt St Skowhegan ME 04976 Ph: (207) 474-7190 |
NPI Number | 1497981450 |
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Provider Enumeration Date | 06/04/2009 |
Last Update Date | 09/04/2018 |
Medicare PECOS PAC ID | 6305877234 |
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Medicare Enrollment ID | O20050830000687 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497981450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PS685 (Maine) | Primary |
Provider Name | Timothy C Mcfadden |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1023147550 PECOS PAC ID: 9830134014 Enrollment ID: I20050628000646 |
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