Jonathan David Birnberg, PH.D. Valid NPI

Individual provider · Psychologist · South Portland, ME

NPI

1174674279

Type

Individual (Type 1)

Primary specialty

Psychologist

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103T00000X

License number

PS1192 (ME)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-01-15

Last updated

2020-10-13