Kaufman Psychological Services
Clinical Neuropsychologist in Portland, ME. Organization (NPI-2).
NPI number1083998611
StatusActive
Last updated in NPPESSep 30, 2011
Details
- NPI
- 1083998611
- Entity type
- Organization (NPI-2)
- Legal business name
- Kaufman Psychological Services
- Organization subpart
- No
- Enumeration date
- Sep 30, 2011
- Last updated
- Sep 30, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | – | – | Yes |
| 103TB0200X | Psychologist, Cognitive & Behavioral | – | – | |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | – | – | |
| 103TS0200X | Psychologist, School | – | – |
Practice location
1321 Washington Ave Ste 102Portland, ME 04103-3636
Phone 207-878-1777 · Fax 207-839-7733
Mailing address
1321 Washington Ave Ste 102Portland, ME 04103-3636
Phone 207-878-1777 · Fax 207-839-7733
Authorized official
Christopher James Kaufman
Clinical Director
2078781717
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