Roy, Mary Anne Nicole

Roy, Mary Anne Nicole is an individual health care provider with primary practice located at 66 Pearl St Ste 326 , Portland ME 04101-4167. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Roy, Mary Anne Nicole can be contacted via phone (207) 773-9931.

Contact Information

Primary practice address
66 Pearl St Ste 326 Portland ME 04101-4167
Phone: (207) 773-9931
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS1269 Maine

Profile Details

NPI number 1225156813
LBN Legal business name Roy, Mary Anne Nicole
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Sep 27th, 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 1225156813 NPPES
Maine MEDICAID 432502899
Maine Other 098304

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