Organization
BOSTON CHILD STUDY CENTER - MAINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN MADIGAN PSY.D. (PRESIDENT)
(617) 299-0228
Entity
Organization
Contact information
Practice address
68 COMMERCIAL ST FL 2, PORTLAND, ME 04101-5089
(207) 200-7860
Mailing address
20 KENT CT UNIT 2, SOMERVILLE, MA 02143-3565
(631) 553-0662
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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