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Contact Information

CHARLES D CLEMETSON, MD
39 FORESIDE RD
PORTLAND, ME04110-1405
 Phone: 207-415-2700
 Fax: 207-899-0138
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for CHARLES D CLEMETSON · (Male)

NPI # 1649448267
Status Active
Credentials MD
Entity Individual
Enumeration date 02/17/2008
Last updated 06/24/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • ME License # 013808
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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