| Julie Ann Peterson, P.a. | |
|
28 Winter St Unit 2 Norway ME 04268-5620 | |
| (207) 890-8779 | |
| (207) 739-2453 |
| Full Name | Julie Ann Peterson, P.a. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 28 Winter St, Norway, Maine |
| Authorized Official Name and Position | Julie Ann Peterson (PRESIDENT) |
| Authorized Official Contact | 2077392454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Ann Peterson, P.a. Po Box 633 Norway ME 04268-0633 Ph: (207) 890-8779 | Julie Ann Peterson, P.a. 28 Winter St Unit 2 Norway ME 04268-5620 Ph: (207) 890-8779 |
| NPI Number | 1952402224 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952402224 | NPI | - | NPPES |
| 11328070 | Other | ME | CAQH PROVIDER NUMBER |
| 27611000099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC8164 (Maine) | Primary |
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