Neurobehavioral Services Of New England, PC
Clinical Neuropsychologist in Portland, ME. Organization (NPI-2).
NPI number1922133115
StatusActive
Last updated in NPPESDec 22, 2010
Details
- NPI
- 1922133115
- Entity type
- Organization (NPI-2)
- Legal business name
- Neurobehavioral Services Of New England, PC
- Organization subpart
- No
- Enumeration date
- Feb 21, 2007
- Last updated
- Dec 22, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | – | – | Yes |
| 103TA0700X | Psychologist, Adult Development & Aging | – | – | |
| 103TC0700X | Psychologist, Clinical | – | – | |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | – | – |
Practice location
335 Brighton AvenueUnit 201
Portland, ME 04102-2374
Phone 207-662-8660 · Fax 207-662-8492
Mailing address
335 Brighton AvenueUnit 201
Portland, ME 04102-2374
Phone 207-662-8660 · Fax 207-662-8492
Authorized official
Philip Allen Morse
President
2076628660
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