Organization
BARDA LEAVITT PH.D. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARDA L LEAVITT PH.D. (PSYCHOLOGIST)
(207) 622-3559
Entity
Organization
Contact information
Practice address
2 BEECH ST UNIT 1A, HALLOWELL, ME 04347-1520
(207) 622-3559
Mailing address
PO BOX 5272, AUGUSTA, ME 04332-5272
(207) 622-3559
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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