Mead-Wescott, Larissa Araxe

Mead-Wescott, Larissa Araxe is an individual health care provider with primary practice located at 277 State St Suite 2A, Bangor ME 04401-5439. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Mead-Wescott, Larissa Araxe can be contacted via phone (207) 990-2580.

Contact Information

Primary practice address
277 State St Suite 2A Bangor ME 04401-5439
Fax: (207) 990-1930
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PS960 Maine

Profile Details

NPI number 1417922725
LBN Legal business name Mead-Wescott, Larissa Araxe
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Nov 24th, 2010 - about 15 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 1417922725 NPPES
Other 036895 ANTHEM
Other 3069401 ANTHEM
MEDICAID 330640099 ANTHEM

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