Individual
SHAWN R KALBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1577 CONGRESS ST STE 2, PORTLAND, ME 04102-2169
(207) 662-5522
(207) 774-1814
Mailing address
1577 CONGRESS ST STE 2, PORTLAND, ME 04102-2169
(207) 662-5522
(207) 774-1814
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PS1375
ME
103TC2200X
Clinical Child & Adolescent Psychologist
04354
MD
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS1375
ME
Other
Enumeration date
03/29/2007
Last updated
06/25/2025
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