Healthcare Provider Details

I. General information

NPI: 1801713334
Provider Name (Legal Business Name): MAINE CHILD THERAPY CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 BRACKETT POINT RD
BIDDEFORD ME
04005-9236
US

IV. Provider business mailing address

50 PEABODY DR
STOW MA
01775-1007
US

V. Phone/Fax

Practice location:
  • Phone: 207-710-8761
  • Fax:
Mailing address:
  • Phone: 207-710-8761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. MELISSA GIGLIO
Title or Position: FOUNDER AND DIRECTOR
Credential: PSYD
Phone: 207-710-8761