Whalio Doctors

NPI 1134426323

The Aware Center for Early Intervention, LLC

Organisation Clinical Psychologist Bangor, ME

Practice location

Address
61 Main St Suite 53, Bangor, ME 04401-6397
Phone
(207) 208-8301
Fax
(877) 320-4344

Authorised official

Name
Jessica Pollard
Title
Director
Phone
(207) 208-8301

Registered specialties (3)

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PS1219 (ME)
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence LC10927 (ME)
Psychiatric/Mental Health Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence AP081171 (ME)

Registry record

NPI
1134426323
Entity type
Organization
NPI issued
24 Feb 2011
Record last updated
24 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.