Organization
PORTLAND PSYCHIATRIC SERVICES, LLC
Active
Other names
Portland Psychiatric Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA WEISS PMHNP (OWNER)
(207) 550-2162
Entity
Organization
Contact information
Practice address
225 COMMERCIAL ST STE 300, PORTLAND, ME 04101-6606
(207) 470-0569
Mailing address
488 MOUNTFORT RD, NORTH YARMOUTH, ME 04097-6926
(207) 550-2162
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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