| Evan Moore Psychiatry Pllc | |
|
71 Grant St Bangor ME 04401-3821 | |
| (480) 235-9434 | |
| Not Available |
| Full Name | Evan Moore Psychiatry Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 71 Grant St, Bangor, Maine |
| Authorized Official Name and Position | Evan C Moore (SOLE PROVIDER, OWNER) |
| Authorized Official Contact | 4802359434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evan Moore Psychiatry Pllc 73 Hammond St. Ste 9998 Po Box Number 224 Bangor ME 04401 Ph: (480) 235-9434 | Evan Moore Psychiatry Pllc 71 Grant St Bangor ME 04401-3821 Ph: (480) 235-9434 |
| NPI Number | 1588446991 |
|---|---|
| Provider Enumeration Date | 10/19/2023 |
| Last Update Date | 10/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588446991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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