| Patronus Llc | |
|
701 Us Route 1 Ste 2a Yarmouth ME 04096-7006 | |
| (207) 352-5011 | |
| (207) 352-5013 |
| Full Name | Patronus Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 701 Us Route 1 Ste 2a, Yarmouth, Maine |
| Authorized Official Name and Position | Maureen D Sanford (OWNER) |
| Authorized Official Contact | 2073525011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patronus Llc 701 Us Route 1 Ste 2a Yarmouth ME 04096-7006 Ph: (207) 352-5011 | Patronus Llc 701 Us Route 1 Ste 2a Yarmouth ME 04096-7006 Ph: (207) 352-5011 |
| NPI Number | 1619682366 |
|---|---|
| Provider Enumeration Date | 01/17/2023 |
| Last Update Date | 01/17/2023 |
| Certification Date | 01/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619682366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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