Medaris, Andrea J

Medaris, Andrea J is an individual health care provider with primary practice located at 153 Park Row Ste 302 , Brunswick ME 04011-2053. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Medaris, Andrea J can be contacted via phone (207) 358-9607.

Contact Information

Primary practice address
153 Park Row Ste 302 Brunswick ME 04011-2053
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS1596 Maine

Profile Details

NPI number 1952942559
LBN Legal business name Medaris, Andrea J
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2019
Last updated Oct 4th, 2019 - about 6 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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