NPI 1346457017

Mark Gregory Kiefner, PHD

Practitioner Clinical Neuropsychologist Portland, ME

Practice location

Address: 26 Portland Street, Portland, ME 04101
Phone: (207) 761-8402
Fax: (207) 761-8405
Mailing address: PO Box 8600, Portland, ME 04104

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PS815 (ME)

Other Clinical Neuropsychologist providers in Maine →

Registry record

NPI: 1346457017
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.