Organization
MORRISON CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSICA SLEEPER JR. (BILLING MANAGER)
(207) 808-5033
Entity
Organization
Contact information
Practice address
60 CHAMBERLAIN RD, SCARBOROUGH, ME 04074-9192
(207) 808-5033
(207) 808-5030
Mailing address
60 CHAMBERLAIN RD, SCARBOROUGH, ME 04074-9192
(207) 808-5033
(207) 808-5030
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1539
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005021
ANTHEM BCBS SPEECH
—
01
—
098548
ANTHEM BCBS OT
—
01
—
098571
BCBS
ME
01
—
098571
ANTHEM BCBS PT
—
05
—
102560000
—
ME
05
—
102560002
—
ME
05
—
102560100
—
ME
05
—
102560200
—
ME
05
—
102560300
—
ME
05
—
102560400
—
ME
05
—
102560500
—
ME
05
—
432373399
—
ME
Enumeration date
02/13/2007
Last updated
02/09/2018
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