BONNIE CREECH


Address: 905 Union St Ste 9, Bangor, ME 04401-3039
Phone: 2079727005

BONNIE CREECH (NPI# 1598703175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598703175
Entity Type Individual
Full Name BONNIE CREECH
Credential PH.D.
Practice Address 905 Union St Ste 9
Bangor
ME 04401-3039
Mailing Address 43 Whiting Hill Rd Ste 300
Brewer
ME 04412-1006
Practice Telephone 2079727005
Practice Fax Number 2079738276
Mailing Telephone 2079738276
Enumeration Date 2006-06-03
Last Update Date 2020-04-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist PS1143 ME Behavioral Health & Social Service Providers

Office Location

Street Address 905 UNION ST STE 9
City BANGOR
State ME
Zip Code 04401-3039

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427366673 Debbie Lim Tan Physical Medicine & Rehabilitation 905 Union St Ste 9, Bangor, ME 04401-3039 2010-09-22
1457405474 Sadvi Ganesh Physical Medicine & Rehabilitation 905 Union St Ste 9, Bangor, ME 04401-3039 2007-01-23
1811907199 Mary A Macy Physical Medicine & Rehabilitation 905 Union St Ste 9, Bangor, ME 04401-3039 2006-08-09

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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
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255492716 Robert L. Gallon Clinical Neuropsychologist 77 James St, Bangor, ME 04401-4661 2006-12-12
1437197001 Anthony Podraza Clinical Neuropsychologist 905 Union St, Suite 9, Bangor, ME 04401-3050 2006-06-03
1790765329 Christine Mary Fink Clinical Neuropsychologist 417 State Street, Webber East, Suite 209, Bangor, ME 04401 2006-01-19
1437138765 Royal Gene Grueneich Clinical Neuropsychologist 277 State Street, Ste 2a, Bangor, ME 04401-5440 2006-01-13
1689891384 Lola C. Bogyo Clinical Neuropsychologist 277 State St, Suite 2a, Bangor, ME 04401-5439 2007-04-20
1164465696 James Thomas Clinical Neuropsychologist 489 State St, Bangor, ME 04401-6616 2006-06-13
1396783973 Dorothy Strom Clinical Neuropsychologist 824 Stillwater Ave, Suite B, Bangor, ME 04401-3614 2006-06-03
1417922725 Larissa Araxe Mead-wescott Clinical Neuropsychologist 277 State St, Suite 2a, Bangor, ME 04401-5439 2006-02-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467909168 Maureen D. Sanford Clinical Neuropsychologist 120 Main St Ste 126, Saco, ME 04072-3527 2016-09-10
1033666359 Rebecca Richards Clinical Neuropsychologist 2178 Post Rd Ste 201, Wells, ME 04090-4794 2016-09-02
1033592837 Rachel Lawson Orr Clinical Neuropsychologist Southern Maine Health Care Pediatrics, 3 Shape Drive, Kennebunk, ME 04043 2015-06-30
1326451212 Abigail Bernett Ryan Clinical Neuropsychologist 220 Union St, Rockport, ME 04856 2014-06-09
1770788598 Austin Louis Errico Clinical Neuropsychologist 45 Cunningham Rd, Freeport, ME 04032-6312 2007-06-20
1346457017 Mark Gregory Kiefner Clinical Neuropsychologist 26 Portland Street, Portland, ME 04101 2007-05-16
1184774937 Melvyn E Attfield Clinical Neuropsychologist 225 Commercial Street, Suite #303, Portland, ME 04101 2007-01-12
1174685945 Christine Barth Ramsay Clinical Neuropsychologist 21 Bailey Farm Rd, Freeport, ME 04032-5808 2006-12-15
1821150699 David A Marks Clinical Neuropsychologist 500 Route 1 Ste 26, Yarmouth, ME 04096-4712 2006-12-15
1386706802 Howard R Kessler Clinical Neuropsychologist 500 Us Route 1 Ste 26, Yarmouth, ME 04096 2006-12-14
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Competitor

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City BANGOR
Zip Code 04401

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Dataset Information

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.

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