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THE AWARE CENTER FOR EARLY INTERVENTION LLC NPI 1134426323


NPI Information

NPI: 1134426323
Provider Name: THE AWARE CENTER FOR EARLY INTERVENTION, LLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
61 MAIN ST
SUITE 53
BANGOR, ME
ZIP 04401
Phone: (207) 208-8301
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THE AWARE CENTER FOR EARLY INTERVENTION, LLC is a clinical psychologist in Bangor, ME. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. THE AWARE CENTER FOR EARLY INTERVENTION, LLC NPI is 1134426323. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

61 MAIN ST
SUITE 53
BANGOR, ME
ZIP 04401-397
Phone: (207) 208-8301
Fax: (877) 320-4344

The provider's authorized official is Jessica Pollard .
The authorized official title is Director and has the following contact phone number (207) 208-8301.

The enumeration date for this NPI number is 2/24/2011 and was last updated on 2/24/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalLC10927MAINENo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthAP081171MAINENo
3103TC0700XPsychologistClinicalPS1219MAINEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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