Bayside Psychology And Consulting, LLC
Psychologist in Portland, ME. Organization (NPI-2).
NPI number1639637432
StatusActive
Last updated in NPPESMar 11, 2019
Details
- NPI
- 1639637432
- Entity type
- Organization (NPI-2)
- Legal business name
- Bayside Psychology And Consulting, LLC
- Organization subpart
- No
- Enumeration date
- Mar 11, 2019
- Last updated
- Mar 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
Practice location
1 Union St Ste 402Portland, ME 04101-4048
Phone 207-464-4080 · Fax 207-850-2116
Mailing address
1 Union St Ste 402Portland, ME 04101-4048
Phone 207-464-4080 · Fax 207-850-2116
Authorized official
Marshall J Robinson
Owner
2074644080
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