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Individual

DR. ANNA MAYO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
489 STATE STREET, BANGOR, ME 04401
(207) 973-7000
(207) 275-4277
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-7000
(207) 275-4277

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS1525
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010211501
ME
Enumeration date
10/31/2017
Last updated
04/07/2021
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