Myers, Leta
Myers, Leta is an individual health care provider with primary practice located at 263 State St Ste 23 , Bangor ME 04401-5438. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Myers, Leta can be contacted via phone (207) 945-3615.Contact Information
Primary practice address
263 State St Ste 23
Bangor ME 04401-5438
Phone: (207) 945-3615
Fax: (207) 945-3444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | LC6726 | Maine |
Profile Details
| NPI number | 1891855920 |
|---|---|
| LBN Legal business name | Myers, Leta |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1891855920 | NPPES |
| Maine | Other | 100021 | ANTHEM |
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