Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Psychodiagnostic Services of Southern Maine

Organization Clinical Psychologist · NPI 1619136983

Psychodiagnostic Services of Southern Maine is a Clinical Psychologist in Portland, Maine. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

491 Stevens Ave
Portland, ME 04103-2636
Phone: (207) 828-4026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1619136983
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Carbone — Chief Officer · (207) 828-4026
NPI enumeratedJune 3, 2008
Last updated in NPPESJune 3, 2008
Mailing address491 Stevens Ave, Portland, ME 04103-2636

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