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
Phone: (207) 973-7000
Fax: (207) 275-4277
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609388644 | NPPES |
Maine | MEDICAID | 010211501 |
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