Tideside Clinical & Psychological Services
NPI #1275645939 in Ellsworth, Maine
Provider Information
- NPI Number
- 1275645939
- Entity Type
- Organization
- Organization Name
- Tideside Clinical & Psychological Services
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MR. KENNETH A. BEATTIE, PH.D.
- Title
- SOLE OWNER
- Phone
- (207) 669-6011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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