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NPI Profile for PEDS CLINIC INC in KENNEBUNK, ME.
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Adolescent Medicine |
2080A0000X | 37 | Physician/Pediatric Medicine | |
Adult Development & Aging |
103TA0700X | 62 | Psychologist, Clinical | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Clinical Child & Adolescent |
103TC2200X | 62 | Psychologist, Clinical | |
Clinical Neuropsychologist |
103G00000X | |||
Cognitive & Behavioral |
103TB0200X | 62 | Psychologist, Clinical | |
Counselor |
101Y00000X | |||
Marriage & Family Therapist |
106H00000X | |||
Mental Health |
101YM0800X | |||
Occupational Therapist |
225X00000X | 67 | Occupational Therapist in Private Practice | |
Pediatrics |
363LP0200X | 50 | Nurse Practitioner |
| NPI # | 1467689786 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/12/2009 | |
| Last updated | 06/12/2009 - About 17 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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PEDS CLINIC, INC
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PEDS CLINIC, INC