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NPI Code Detail

MEDICARE: STEPHEN MICHAEL HAYES LCSW

MEDICARE: STEPHEN MICHAEL HAYES LCSW
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
1101YM0800XMental Health CounselorLC3649ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780643205
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN MICHAEL HAYES LCSW
Provider Business Mailing Address
First Line : 1008 LISBON ST
Second Line : 2ND FLOOR
City : LEWISTON
State : ME
Zip : 04240-5721
Country : US
Telephone Number : 207-753-0323
Fax Number : 207-753-0323
Provider Business Practice Location Address
First Line : 1008 LISBON ST
Second Line : 2ND FLOOR
City : LEWISTON
State : ME
Zip : 04240-5721
Country : US
Telephone Number : 207-753-0323
Fax Number : 207-753-0323
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2006
Last Update Date : 03/08/2013

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