Provider Demographics
NPI:1275410086
Name:KLINE, EMILY ARDEN (PHD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ARDEN
Last Name:KLINE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 BRAMHALL ST FL 1
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04102-3355
Mailing Address - Country:US
Mailing Address - Phone:207-662-3101
Mailing Address - Fax:207-662-6783
Practice Address - Street 1:66 BRAMHALL ST FL 1
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04102-3355
Practice Address - Country:US
Practice Address - Phone:207-662-3101
Practice Address - Fax:207-662-6783
Is Sole Proprietor?:No
Enumeration Date:2025-08-21
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPS2671103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist