Bangor Psychiatric Associates, Pa | |
444 Stillwater Ave Ste 210 Bangor ME 04401-3500 | |
(207) 907-4311 | |
(207) 907-4322 |
Full Name | Bangor Psychiatric Associates, Pa |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 444 Stillwater Ave Ste 210, Bangor, Maine |
Authorized Official Name and Position | Michelle Henneberry (PRESIDENT) |
Authorized Official Contact | 2079076311 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bangor Psychiatric Associates, Pa 444 Stillwater Ave Ste 210 Bangor ME 04401-3500 Ph: (207) 907-4311 | Bangor Psychiatric Associates, Pa 444 Stillwater Ave Ste 210 Bangor ME 04401-3500 Ph: (207) 907-4311 |
NPI Number | 1740356997 |
---|---|
Provider Enumeration Date | 11/28/2006 |
Last Update Date | 12/08/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740356997 | NPI | - | NPPES |
105740000 | Medicaid | ME | |
048918 | Other | ME | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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