| Michael N. Raskin Pa | |
|
8 Main St Lisbon Falls ME 04252-1505 | |
| (207) 353-7254 | |
| (207) 353-7258 |
| Full Name | Michael N. Raskin Pa |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 8 Main St, Lisbon Falls, Maine |
| Authorized Official Name and Position | Michael Neil Raskin (OWNER) |
| Authorized Official Contact | 2073537254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael N. Raskin Pa 8 Main St Lisbon Falls ME 04252-1505 Ph: (207) 353-7254 | Michael N. Raskin Pa 8 Main St Lisbon Falls ME 04252-1505 Ph: (207) 353-7254 |
| NPI Number | 1699110064 |
|---|---|
| Provider Enumeration Date | 04/30/2013 |
| Last Update Date | 04/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699110064 | NPI | - | NPPES |
| 134320000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS 345 (Maine) | Primary |
Cultivated Wellness Psychotherapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Pleasant St, Lisbon Falls, ME 04252 Phone: 207-252-9303 |