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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JONATHAN DAVID BIRNBERG, PH.D.

Active Sole Proprietor

DR. JONATHAN DAVID BIRNBERG, PH.D. is a Psychologist healthcare provider located in SOUTH PORTLAND, Maine. NPI 1174674279 is currently active in the NPPES registry. Verify at CMS.

Psychologist · SOUTH PORTLAND, ME

Registration Details

NPI Number
1174674279
Provider Type
Individual
Gender
Male
NPI Issued
Jan 15, 2007 (19.53671309215 yrs)
Last Updated
Oct 13, 2020
Licenses
PS1192 (ME)
8077 (MA)
Sole Proprietor
Yes

Practice Information

Address
609 MAIN ST
SUITE 3
SOUTH PORTLAND, ME, 041065453
Browse ME providers · Browse ZIP 04106
Phone
2077752220
Fax
2077752226
Primary Specialty
Psychologist
103T00000X
Additional Specialty
Psychologist

Other Psychologist Providers in SOUTH PORTLAND, ME

Name Credential NPI
DR. CAROLE OREM-HOUGH PH.D. 1255445359
DR. CHRISTINE JOAN COOKE PH.D. 1205996006
DR. KIRSTEN W MILLIKEN PH.D. 1336202316
DR. KIMBERLY CHRISTINE DROUIN PH.D. 1063563161
DR. SARAH SCHEWITZ PSY.D. 1326439597
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.