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Organization

KIM B. KNOWLES,PH.D, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER S FOURNIER (MANAGER)
(207) 376-5405
Entity
Organization

Contact information

Practice address
15 PLEASANT HILL RD STE 204, SCARBOROUGH, ME 04074-9688
(207) 799-6166
Mailing address
PO BOX 2121, SOUTH PORTLAND, ME 04116-2121
(207) 767-1260
(207) 375-5165

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS977
ME

Other

Enumeration date
07/17/2012
Last updated
09/19/2025
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