| Toby A. Ansfield, Ph.d., P.a. | |
|
145 Newbury St Suite 2 Portland ME 04101-4261 | |
| (207) 756-8866 | |
| Not Available |
| Full Name | Toby A. Ansfield, Ph.d., P.a. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 145 Newbury St, Portland, Maine |
| Authorized Official Name and Position | Toby A. Ansfield (PRESIDENT) |
| Authorized Official Contact | 2077568866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Toby A. Ansfield, Ph.d., P.a. 57 High St Yarmouth ME 04096-6759 Ph: (207) 756-8866 | Toby A. Ansfield, Ph.d., P.a. 145 Newbury St Suite 2 Portland ME 04101-4261 Ph: (207) 756-8866 |
| NPI Number | 1790919421 |
|---|---|
| Provider Enumeration Date | 05/09/2009 |
| Last Update Date | 02/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790919421 | NPI | - | NPPES |
| 1346400000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PS1020 (Maine) | Primary |
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