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Organization

GEROPSYCH MAINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS MICHAEL MEUSER PHD (EXECUTIVE DIRECTOR / PSYCHOLOGIST)
(207) 331-4336
Entity
Organization

Contact information

Practice address
1582 WASHINGTON AVE, PORTLAND, ME 04103-2023
(207) 331-4336
Mailing address
PO BOX 11193, PORTLAND, ME 04104-7193
(207) 331-4336

Taxonomy

Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary

Other

Enumeration date
07/12/2023
Last updated
07/12/2023
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