Alexandria S Patel, LMFT

Individual provider Active NPI Marriage & Family Therapist · Bangor, ME

NPI 1871897249 · NPPES record last updated Oct 18, 2011

Key facts

NPI
1871897249
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MF2352 (ME)
Practice address
157 Park St Ste 34
Bangor, ME 04401-5063
Phone
(207) 974-6057
NPI assigned
Dec 29, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MF2352MEMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MF2352 ME Yes

Addresses

Primary practice location

157 Park St Ste 34
Bangor, ME 04401-5063

Mailing address

69 Kennebec Rd
Hampden, ME 04444-1315
Phone (207) 974-6057

Other names

  • Alexandria Marie Stanley Former name

Other providers in Bangor, ME

All providers in Bangor, ME · Marriage & Family Therapist in Maine

Sources for this page

Verify at the official NPI Registry.