IndividualActive
Emmanuel Gideon
NPI 1508507047 · Cognitive & Behavioral Psychologist · South Portland, ME
Provider details
- NPI number
- 1508507047
- Entity type
- Individual
- Primary specialty
- Cognitive & Behavioral PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Cognitive & Behavioral Psychologist103TB0200X
Behavioral Health & Social Service Providers
Practice location
15 Wainwright Cir E
South Portland, ME 04106-2516
Phone: (207) 671-5054
Approximate (ZIP-level) locationGet directions
Mailing address
15 Wainwright Cir E
South Portland, ME 04106-2516
Registry dates
- Enumerated
- 2022-04-06
- Last updated
- 2022-04-06
- Certified
- 2022-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.