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
Phone: (207) 990-2580
Fax: (207) 990-1930
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417922725 | NPPES |
Other | 036895 | ANTHEM | |
Other | 3069401 | ANTHEM | |
MEDICAID | 330640099 | ANTHEM |
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