LENORE P PATRAKIS-SPANGER


Address: 75 Washinton Avenue, Portland, ME 04101
Phone: 2077724110

LENORE P PATRAKIS-SPANGER (NPI# 1497074447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497074447
Entity Type Individual
Full Name LENORE P PATRAKIS-SPANGER
Practice Address 75 Washinton Avenue
Portland
ME 04101
Practice Telephone 2077724110
Practice Fax Number 2077610748
Mailing Telephone 2077724110
Mailing Fax Number 2077610748
Enumeration Date 2010-05-28
Last Update Date 2018-08-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
LC4005 ME Behavioral Health & Social Service Providers

Office Location

Street Address 75 WASHINTON AVENUE
City PORTLAND
State ME
Zip Code 04101

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1245719541 Scott J Whited Nurse Practitioner 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 2018-08-08
1144733064 Alixandria Elaine Marie Winchell Massage Therapist One City Center, Portland, ME 04101 2017-11-14
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City PORTLAND
Zip Code 04101

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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