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General NPI Number Information
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NPI Number | 1801713334
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Entity Type | Organization
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Legal Business Name | MAINE CHILD THERAPY CENTER PLLC
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 3 BRACKETT POINT RD
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City | BIDDEFORD
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State | ME
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Zip | 04005-9236
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Country | US
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Telephone | 207-710-8761
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Fax |
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Provider Business Mailing Address
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Address Line | 50 PEABODY DR
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City | STOW
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State | MA
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Zip | 01775-1007
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Country | US
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Telephone | 207-710-8761
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Fax |
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Authorized Official
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Title or Position | FOUNDER AND DIRECTOR
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Name | DR. MELISSA GIGLIO
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Credential | PSYD
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Telephone | 207-710-8761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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