Individual
ANNMARIE MICA LAGEROOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
205 OCEAN AVE, PORTLAND, ME 04103-5712
(207) 808-0428
Mailing address
31 GORHAM RD UNIT 181, SCARBOROUGH, ME 04070-4007
(207) 808-0428
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
9875
MA
103TC0700X
Clinical Psychologist
Primary
PS1503
ME
Other
Enumeration date
05/04/2010
Last updated
04/15/2026
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