| Neuroconnections, Llc | |
|
120 Main St Saco ME 04072-3527 | |
| (207) 289-0466 | |
| Not Available |
| Full Name | Neuroconnections, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 120 Main St, Saco, Maine |
| Authorized Official Name and Position | Maureen D. Sanford (PRINCIPAL MEMBER) |
| Authorized Official Contact | 2073525011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuroconnections, Llc 120 Main St Ste 126 Saco ME 04072-3527 Ph: (207) 352-5011 | Neuroconnections, Llc 120 Main St Saco ME 04072-3527 Ph: (207) 289-0466 |
| NPI Number | 1710403571 |
|---|---|
| Provider Enumeration Date | 08/14/2017 |
| Last Update Date | 03/13/2018 |
| Medicare PECOS PAC ID | 1850659467 |
|---|---|
| Medicare Enrollment ID | O20180102002438 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710403571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (Maine) | Secondary |
| 103T00000X | Psychologist | (Maine) | Primary |
| 103TC0700X | Psychologist - Clinical | (Maine) | Secondary |
| Provider Name | Maureen Diana Sanford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467909168 PECOS PAC ID: 7719265974 Enrollment ID: I20161024001596 |
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