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Organization

KAUFMAN PSYCHOLOGICAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTOPHER JAMES KAUFMAN PH.D. (CLINICAL DIRECTOR)
(207) 878-1717
Entity
Organization

Contact information

Practice address
1321 WASHINGTON AVE STE 102, PORTLAND, ME 04103-3636
(207) 878-1777
(207) 839-7733
Mailing address
1321 WASHINGTON AVE STE 102, PORTLAND, ME 04103-3636
(207) 878-1777
(207) 839-7733

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
103TB0200X
Cognitive & Behavioral Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
103TS0200X
School Psychologist

Other

Enumeration date
09/30/2011
Last updated
09/30/2011
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