Organization
MARK G KIEFNER PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK G KIEFNER PHD (OWNER)
(207) 400-2694
Entity
Organization
Contact information
Practice address
225 COMMERCIAL ST STE 403, PORTLAND, ME 04101-6603
(207) 400-2694
(207) 331-3249
Mailing address
98 SHERIDAN ST, PORTLAND, ME 04101-2626
(207) 400-2694
(207) 331-3249
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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