Emmanuel Norman Gideon Sr, - Psychologist in South Portland, ME

Emmanuel Norman Gideon Sr, is a Psychologist - Cognitive & Behavioral based in South Portland, Maine. Emmanuel Norman Gideon Sr is licensed to practice in Maine (license number 9957298) and his current practice location is 15 Wainwright Cir E, South Portland, Maine. He can be reached at his office (for appointments etc.) via phone at (207) 671-5054.

NPI number for Emmanuel Norman Gideon Sr is 1508507047 and his current mailing address is 15 Wainwright Cir E, South Portland, Maine. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508507047.

Contact Information

Emmanuel Norman Gideon Sr,
15 Wainwright Cir E,
South Portland, ME 04106-2516
(207) 671-5054
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameEmmanuel Norman Gideon Sr
GenderMale
SpecialityPsychologist - Cognitive & Behavioral
Location15 Wainwright Cir E, South Portland, Maine
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508507047
  • Provider Enumeration Date: 04/06/2022
  • Last Update Date: 04/06/2022

Medical Identifiers

Medical identifiers for Emmanuel Norman Gideon Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508507047NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TB0200XPsychologist - Cognitive & Behavioral (* (Not Available))Secondary
103TB0200XPsychologist - Cognitive & Behavioral 9957298 (Maine)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Emmanuel Norman Gideon Sr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Emmanuel Norman Gideon Sr,
15 Wainwright Cir E,
South Portland, ME 04106-2516

Ph: () -
Emmanuel Norman Gideon Sr,
15 Wainwright Cir E,
South Portland, ME 04106-2516

Ph: (207) 671-5054

Reviews and Comments


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