NPI: 1902493620
Provider Name: PORTLAND PSYCHIATRIC SERVICES, LLC
Doing Business As: PORTLAND PSYCHIATRIC SERVICES, LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization
Specialization: Psychiatric/Mental Health
Address:
225 COMMERCIAL ST STE 300
PORTLAND, ME
ZIP 04101
Phone: (207) 470-0569
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PORTLAND PSYCHIATRIC SERVICES, LLC is a psychiatric/mental health nurse practitioner in Portland, ME. PORTLAND PSYCHIATRIC SERVICES, LLC NPI is 1902493620. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Portland Psychiatric Services, Llc.
The provider's business location address is:
225 COMMERCIAL ST STE 300
PORTLAND, ME
ZIP 04101-606
Phone: (207) 470-0569
The provider's authorized official is Gloria Weiss .
The authorized official title is Owner and has the following contact phone number (207) 550-2162.
The enumeration date for this NPI number is 12/29/2020 and was last updated on 12/29/2020.