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MARK GREGORY KIEFNER PHD

Clinical Neuropsychologist

Portland, Maine

Provider NPI: 1346457017

Provider Information:
 MARK GREGORY KIEFNER PHD
Gender: M
Not Sole Proprietor

Practice Location:
26 PORTLAND STREET  PORTLAND, ME 04101 US
Tel: 207-761-8402  Fax: 207-761-8405

Business Mailing Address:
PO BOX 8600  PORTLAND, ME 04104 US
Tel: 207-774-6323  Fax: 207-761-8460

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MEPS815

Other Provider Identifiers:

IssuerNumberStateType
ANTHEM010593ME01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS ME - Page 1

1 Neuropsychology, Neuropsychologist in Bangor, ME Bangor, ME, USA Neuropsychologist MD/DO - Northern Light Eastern Maine Medical Center Northern Light Eastern Maine ... Clinical practice consists of a combination of inpatient and outpatient assessments for a full ...... Apply Now>>



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