Murtagh, Mackenna Anderson

Murtagh, Mackenna Anderson is an individual health care provider with primary practice located at 618 Main St , Lewiston ME 04240-5935. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Murtagh, Mackenna Anderson can be contacted via phone (207) 795-6110.

Contact Information

Primary practice address
618 Main St Lewiston ME 04240-5935
Phone: (207) 795-6110
Fax: (207) 795-6189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS2419 Maine

Profile Details

NPI number 1497228142
LBN Legal business name Murtagh, Mackenna Anderson
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2019
Last updated Mar 9th, 2022 - 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 1497228142 NPPES
Maine MEDICAID 1588785463

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