MEDICARE: DR. RICHARD A VOIT PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PY1029	ME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	100533	OTHER	ME	MAGELLAN
2	68764	OTHER	ME	CIGNA
3	027806	OTHER	ME	ANTHEM BC & BS
4	095985	OTHER	ME	MHN
5	S014755	OTHER	ME	TRICARE
6	4339633	OTHER	ME	AETNA
7	W03137	OTHER	MA	BLUE CROSS & BLUE SHIELD

General Provider Information

NPI Number	:	1679510515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD A VOIT PH.D.

Provider Business Mailing Address
First Line	:	169 PARK ROW
Second Line	:	SUITE 5
City	:	BRUNSWICK
State	:	ME
Zip	:	04011-2039
Country	:	US
Telephone Number	:	207-721-0500
Fax Number	:

Provider Business Practice Location Address
First Line	:	169 PARK ROW
Second Line	:	SUITE 5
City	:	BRUNSWICK
State	:	ME
Zip	:	04011-2039
Country	:	US
Telephone Number	:	207-721-0500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	04/10/2017

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