Organization
PORTLAND CENTER FOR COUNSELING AND PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MELNICK PHD (OWNER)
(207) 772-1559
Entity
Organization
Contact information
Practice address
178 MIDDLE ST STE 501, PORTLAND, ME 04101-4075
(207) 772-1559
Mailing address
178 MIDDLE ST STE 501, PORTLAND, ME 04101-4075
(207) 772-1559
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0384
ME
Other
Enumeration date
12/06/2012
Last updated
02/27/2013
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