| Eventus Maine Llc | |
|
1180 Lisbon St Lewiston ME 04240-5059 | |
| (207) 782-7720 | |
| (207) 333-3232 |
| Full Name | Eventus Maine Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1180 Lisbon St, Lewiston, Maine |
| Authorized Official Name and Position | William M Barter (OWNER) |
| Authorized Official Contact | 2077827720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eventus Maine Llc 68 Pleasant St Brunswick ME 04011-2203 Ph: (207) 782-7720 | Eventus Maine Llc 1180 Lisbon St Lewiston ME 04240-5059 Ph: (207) 782-7720 |
| NPI Number | 1558678425 |
|---|---|
| Provider Enumeration Date | 09/13/2010 |
| Last Update Date | 09/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558678425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 103TF0200X | Psychologist - Forensic | (* (Not Available)) | Secondary |
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