Mayo, Anna

Mayo, Anna is an individual health care provider with primary practice located at 489 State Street , Bangor ME 04401. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Mayo, Anna can be contacted via phone (207) 973-7000.

Contact Information

Primary practice address
489 State Street Bangor ME 04401
Fax: (207) 275-4277
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS1525 Maine

Profile Details

NPI number 1609388644
LBN Legal business name Mayo, Anna
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2017
Last updated Apr 7th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609388644 NPPES
Maine MEDICAID 010211501

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