DR. HOLLY MARIE COSTAR (NPI# 1245476738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245476738 |
| Entity Type | Individual |
| Full Name | DR. HOLLY MARIE COSTAR |
| Credential | PH.D. |
| Practice Address |
6 State St Ste 307a Bangor ME 04401-5133 |
| Mailing Address |
236 W Broadway Bangor ME 04401-5979 |
| Practice Telephone | 2075170017 |
| Mailing Telephone | 2075170017 |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2017-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PS1281 | ME | Behavioral Health & Social Service Providers |
| Street Address |
6 STATE ST STE 307A |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-5133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215429311 | Sandra Deacon Carr | Psychologist | 36 Old East Scituate Rd, York, ME 03909-5719 | 2018-06-04 |
| 1851881817 | Ernest John Caporale | Psychologist | 112 Lakeview Rd, West Boothbay Harbor, ME 04575-1800 | 2018-05-15 |
| 1760769673 | Mary P Donahue | Psychologist | 517 Us Route 1, Kittery, ME 03904-5514 | 2011-11-05 |
| 1740568104 | Donald Joseph Manship | Psychologist | 21 George St., South Portland, ME 04106 | 2011-08-02 |
| 1285943704 | Julie Erb | Psychologist | 839 River Rd, Woolwich, ME 04579-4212 | 2010-10-01 |
| 1861701328 | Kim Roth | Psychologist | 89 Partridge Ln, Auburn, ME 04210-8636 | 2010-10-01 |
| 1851576862 | Brent David Elwood | Psychologist | 125 Cutler Health Center, University of Maine, Orono, ME 04469-5721 | 2008-01-09 |
| 1942414222 | Kathy Karpeles | Psychologist | 651 Forest Ave, Portland, ME 04101-1525 | 2007-05-09 |
| 1437271145 | Mary E Mccann | Psychologist | 7 Blanchard Rd, Cumberland, ME 04021-3501 | 2007-04-04 |
| 1215069497 | Paul A Sobchuk | Psychologist | 99 Park St, Rockland, ME 04841-2843 | 2007-03-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.