Kabacoff, Carol Lynn C
Kabacoff, Carol Lynn C is an sole proprietor health care provider with primary practice located at 6 D St , South Portland ME 04106-2820. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Kabacoff, Carol Lynn C can be contacted via phone (207) 321-0022.Contact Information
Primary practice address
6 D St
South Portland ME 04106-2820
Phone: (207) 321-0022
Fax: (207) 767-7002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PS929 | Maine |
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | PS929 | Maine |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS929 | Maine |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PS929 | Maine |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | PS929 | Maine |
| Behavioral Health & Social Service Providers / School | 103TS0200X | PS929 | Maine |
Profile Details
| NPI number | 1669529376 |
|---|---|
| LBN Legal business name | Kabacoff, Carol Lynn C |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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