NPI 1649475682 · live from the CMS NPI Registry
Cathleen J Small, Ph.D., BCBA-D
Psychologist in Scarborough, ME. National Provider Identifier 1649475682, active.
NPI record
| NPI | 1649475682 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 301c Us Route 1, Scarborough, ME 04074 |
| Practice phone | 207-396-8600 |
| Mailing address | 1577 Congress St, 2nd Floor, Portland, ME 04102 |
| Enumerated | June 19, 2007 |
| Last updated | July 12, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | 04783 (MD) |
| Behavior Analyst | 103K00000X | 1-05-2441 |
| Psychologist primary | 103T00000X | PS1380 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.