Active NPIIndividual provider

Dr. Lola C Bogyo, PHD

Clinical Neuropsychologist in Bangor, Maine

NPI Number1689891384
Practice location
277 State St, Suite 2A, Bangor, ME 04401-5439
Fax
207-990-1930
Last updated
November 21, 2016

Lola C. Bogyo is a Clinical Neuropsychologist based in Bangor, ME. Lola C. Bogyo practices in Bangor, ME and has the professional credentials of PHD. The NPI Number for Lola C. Bogyo is 1689891384 and holds a License No. PS1251 (ME). The current practice location address for Lola C. Bogyo is 277 State St, Suite 2A, Bangor, ME 04401-5439 and can be reached out via phone at 207-990-2580 and via fax at 207-990-1930.

Provider Profile Details

NPI Number
1689891384
Provider Name
Lola C. Bogyo
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
277 State St, Suite 2A, Bangor, ME 04401-5439
Phone Number
207-990-2580
Fax Number
207-990-1930
Primary Taxonomy
Clinical Neuropsychologist · 103G00000X
Sole Proprietor
No
Provider Enumeration Date
April 20, 2007
Last Update Date
November 21, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
277 State St
Suite 2A
Bangor, ME 04401-5439
City
Bangor
State
Maine
Zip
04401-5439
Phone Number
207-990-2580
Fax Number
207-990-1930
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
277 State St
Suite 2A
Bangor, ME 04401-5439
City
Bangor
State
ME
Zip
04401-5439
Phone Number
207-990-2580
Fax Number
207-990-1930

License Information

License Number
PS1251
License State
ME
Taxonomy
Clinical Neuropsychologist · 103G00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Lola C Bogyo, PHD?

The NPI number of Dr. Lola C Bogyo, PHD is 1689891384. It was assigned on April 20, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Lola C Bogyo, PHD?

Dr. Lola C Bogyo, PHD is registered under the primary taxonomy Clinical Neuropsychologist (code 103G00000X), licensed in ME under license number PS1251.

Where does Dr. Lola C Bogyo, PHD practice?

The practice location is 277 State St, Suite 2A, Bangor, ME 04401-5439. The office can be reached at 207-990-2580 (phone) or 207-990-1930 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689891384 directly on the NPPES registry website.

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