| Southwestern Maine Clinical Assoc Pa | |
|
20 Mechanic St Gorham ME 04038 | |
| (207) 839-2587 | |
| (207) 839-2022 |
| Full Name | Southwestern Maine Clinical Assoc Pa |
|---|---|
| Speciality | Psychologist |
| Location | 20 Mechanic St, Gorham, Maine |
| Authorized Official Name and Position | Kerry E Kimball (CEO) |
| Authorized Official Contact | 2078392587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwestern Maine Clinical Assoc Pa Po Box 757 Gorham ME 04038-0757 Ph: (207) 839-2587 | Southwestern Maine Clinical Assoc Pa 20 Mechanic St Gorham ME 04038 Ph: (207) 839-2587 |
| NPI Number | 1265405385 |
|---|---|
| Provider Enumeration Date | 02/09/2006 |
| Last Update Date | 04/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265405385 | NPI | - | NPPES |
| 125580000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS574 (Maine) | Primary |
Deborah J Devine Psyd, Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Mechanic St, Gorham, ME 04038 Phone: 207-839-2450 Fax: 207-839-6469 | |
The Integrated Life Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 28 State St Ste 5, Gorham, ME 04038 Phone: 207-894-4278 | |
Tom Negron, Ph.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Cummings Dr, Gorham, ME 04038 Phone: 207-772-1164 Fax: 207-772-2670 | |
Embrace The Extra Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 28 State St Ste 5, Gorham, ME 04038 Phone: 207-894-4278 | |
Dragonfly Wellness Studio Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 84 Gordon Farms Rd, Gorham, ME 04038 Phone: 207-613-6843 Fax: 207-419-2732 | |
Chelsea Feeney, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Main St Ste 203, Gorham, ME 04038 Phone: 207-523-9496 |