Neuropsychology Service Pa in Bangor - Clinical
Neuropsychology Service Pa - NPI 1811100068
Neuropsychology Service Pa is a Clinical in Bangor, Maine. Neuropsychology Service Pa practices all healthcare services and medical treatments related to Clinical. The NPI Number for Neuropsychology Service Pa is 1811100068. The last update date is 2010-12-02.
Neuropsychology Service Pa's current location address is 277 State St, Bangor, Maine. You can contact this provider via phone number 2079902580 and fax number 2079901930. The mailing address for Neuropsychology Service Pa is 277 State St, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Neuropsychology Service Pa |
|---|---|
| Address | 277 State St, Bangor, Maine |
| Phone Number | 2079902580 |
| Fax Number | 2079901930 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Grueneich G Royal |
| Credentials | PHD |
| Telephone Number | 2079902580 |
NPI Number Detail
| NPI Number | 1811100068 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2010-12-02 |
Provider Mailing Address Detail
| Address | 277 State St |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44015439 |
| Phone Number | 2079902580 |
| Fax Number | 2079901930 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5418635 | AETNA | ||
| P0724 | ANTHEM |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Neuropsychology Service Pa by the Centers for Medicare & Medicaid Services?
The Neuropsychology Service Pa has been assigned the NPI (National Provider Identifier) 1811100068 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Neuropsychology Service Pa is geographically located?
The Neuropsychology Service Pa is physically situated at the following location: 277 State St, Bangor, ME, 44015439.
What is Neuropsychology Service Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Neuropsychology Service Pa's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1811100068 to Neuropsychology Service Pa?
The Centers for Medicare & Medicaid Services assigned the 1811100068 to Neuropsychology Service Pa on 2007-05-07.
As of what date was the information pertaining to Neuropsychology Service Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Neuropsychology Service Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-12-02.
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