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Organization
PORTLAND PSYCHIATRIC SERVICES, LLC
Active
Organization
PORTLAND PSYCHIATRIC SERVICES, LLC
Active
Other names
Portland Psychiatric Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA WEISS PMHNP (OWNER)
(207) 550-2162
Entity
Organization
Contact information
Practice address
225 COMMERCIAL ST STE 300, PORTLAND, ME 04101-6606
(207) 470-0569
Mailing address
488 MOUNTFORT RD, NORTH YARMOUTH, ME 04097-6926
(207) 550-2162
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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