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BARDA LEAVITT PH.D. PLLC NPI 1962160341


NPI Information

NPI: 1962160341
Provider Name: BARDA LEAVITT PH.D. PLLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2 BEECH ST UNIT 1A
HALLOWELL, ME
ZIP 04347
Phone: (207) 622-3559
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BARDA LEAVITT PH.D. PLLC is a mental health (including community mental health center) clinic center in Hallowell, ME. BARDA LEAVITT PH.D. PLLC NPI is 1962160341. The provider is registered as an organization entity type.

The provider's business location address is:

2 BEECH ST UNIT 1A
HALLOWELL, ME
ZIP 04347-520
Phone: (207) 622-3559

The provider's authorized official is Barda L Leavitt .
The authorized official title is Psychologist and has the following contact phone number (207) 622-3559.

The enumeration date for this NPI number is 12/2/2021 and was last updated on 12/2/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 5/5/2024

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