Laura Beatrice Kavesh, PHD | |
216 Vaughan St, Portland, ME 04102-3204 | |
(207) 662-2221 | |
(207) 662-6348 |
Full Name | Laura Beatrice Kavesh |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 216 Vaughan St, Portland, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144230699 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PS1105 (Maine) | Primary |
Entity Name | Mainehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
Mailing Address | Practice Location Address |
---|---|
Laura Beatrice Kavesh, PHD 216 Vaughan St, Portland, ME 04102-3204 Ph: (207) 662-2221 | Laura Beatrice Kavesh, PHD 216 Vaughan St, Portland, ME 04102-3204 Ph: (207) 662-2221 |
Dr. John Neal Stewart, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 9 Hastings St, Portland, ME 04102 Phone: 207-772-8999 | |
Dr. Toby A Ansfield, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 145 Newbury St, Ste 2, Portland, ME 04101 Phone: 207-756-8866 | |
Dr. Elizabeth V Wheeler, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 25 Middle Street, Portland, ME 04101 Phone: 207-712-1853 Fax: 207-773-5512 | |
Elizabeth Barker, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1577 Congress St, Portland, ME 04102 Phone: 307-663-5522 | |
Dr. Gail Goza-macmullan, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 73 Washington Ave, Portland, ME 04101 Phone: 207-771-3553 Fax: 781-687-3470 | |
Ms. Gabrielle Broche, LCPC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 30 Pitt Street, Portland, ME 04103 Phone: 207-828-1023 | |
Christine Dub, Psychologist Medicare: Medicare Enrolled Practice Location: 37 Andover Road, Portland, ME 04102 Phone: 207-661-3600 |