Individual
DR. CAROL LYNN C KABACOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6 D ST, SOUTH PORTLAND, ME 04106-2820
(207) 321-0022
(207) 767-7002
Mailing address
6 D ST, SOUTH PORTLAND, ME 04106-2820
(207) 321-0022
(207) 767-7002
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS929
ME
103TA0700X
Adult Development & Aging Psychologist
Primary
PS929
ME
103TC0700X
Clinical Psychologist
PS929
ME
103TC2200X
Clinical Child & Adolescent Psychologist
PS929
ME
103TF0200X
Forensic Psychologist
PS929
ME
103TS0200X
School Psychologist
PS929
ME
Other
Enumeration date
01/04/2007
Last updated
09/11/2025
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