Individual
DR. TERESA M MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, PSYD
Contact information
Practice address
250 ARSENAL ST, 11 SHS, AUGUSTA, ME 04333-0001
(207) 624-4664
(207) 287-6123
Mailing address
89 WILLIAMSON RD, MANCHESTER, ME 04351-3807
(207) 215-3488
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS 1000
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MM8715
PIN
ME
Enumeration date
01/26/2006
Last updated
03/02/2015
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