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Contact Information

LAURA ANGELEY DEVEREUX
18 RIDGE ROAD
ISLE AU HAUT, ME04645-0464
 Phone: 520-542-0171
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for LAURA ANGELEY DEVEREUX · (Female)

NPI # 1164245189
Status Active
Credentials
Entity Individual
Enumeration date 11/07/2024
Last updated 11/07/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • ME License # XL7324
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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