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Contact Information

BARDA L LEAVITT, PhD
2 BEECH STREET
UNIT 1A
HALLOWELL, ME04347-1520
 Phone: 207-622-3559
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BARDA L LEAVITT · (Female)

NPI Number 1487732889
Status Active
Credentials PhD
Entity Individual
Enumeration date 11/02/2006
Last updated 12/23/2021 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • ME License # PS373
  • ME Medicaid 197300000
  • Other 005900 ANTHEM BLUE CROSS
  • Other 1036493 CIGNA
  • Other MNT793 HARVARD PILGRIM
  • Other 147311000 MAGELLAN BEHAVIORAL HEALT
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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