York Psychotherapy Associates Inc | |
192 York St York ME 03909-1021 | |
(207) 363-2164 | |
(207) 363-7808 |
Full Name | York Psychotherapy Associates Inc |
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Speciality | Psychologist |
Location | 192 York St, York, Maine |
Authorized Official Name and Position | Constance Hanley (PRESIDENT) |
Authorized Official Contact | 2073632164 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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York Psychotherapy Associates Inc 192 York St York ME 03909-1021 Ph: (207) 363-2164 | York Psychotherapy Associates Inc 192 York St York ME 03909-1021 Ph: (207) 363-2164 |
NPI Number | 1366618993 |
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Provider Enumeration Date | 05/04/2008 |
Last Update Date | 05/04/2008 |
Medicare PECOS PAC ID | 5294766143 |
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Medicare Enrollment ID | O20050830000772 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366618993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | 00466 (Maine) | Primary |
Provider Name | Constance M Hanley |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1629181078 PECOS PAC ID: 6305854654 Enrollment ID: I20060328000275 |
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