Doctor Name: | JEFFREY SCOTT KREBS |
NPI Number: | 1124182241 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 000582 |
Business Practice Address: | 70 Main Street Porter, ME - 04068 |
Business Phone Number: | 2076258126 |
Business Fax Number: | 2076257820 |
Mailing Address: | Po Box 777, PARSONSFIELD |
State: | ME |
Postal Code: | 04047 |
Phone Number: | 2076258126 |
Fax Number: | 2076257820 |
NPI Enumeration Date: | 12/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 000582 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |