# FAMILY PSYCHIATRY OF MAINE PA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386061174
- **Authorized official:** DR. HENRY SKINNER MD (PRESIDENT)
- **Authorized official phone:** (207) 650-1393

## Contact information

- **Practice address:** 253 MAIN ST, YARMOUTH, ME 04096-6800
- **Practice address phone:** (207) 650-1393
- **Practice address fax:** (888) 538-7919
- **Mailing address:** 253 MAIN ST, YARMOUTH, ME 04096-6800
- **Mailing address phone:** (207) 650-1393
- **Mailing address fax:** (888) 538-7919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | MD18501 | ME | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | MD18501 | ME | Yes |

## Other

- **Enumeration date:** 03/18/2014
- **Last updated:** 03/18/2014
