Individual
JENNIFER L MOGUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
93 CAMPUS AVE, LEWISTON, ME 04240
(207) 777-8700
(207) 777-8826
Mailing address
PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8950
(207) 777-8800
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD15086
ME
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD15086
ME
Other
Enumeration date
12/28/2006
Last updated
04/08/2022
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