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Dr. Laura Elizabeth Santilli, Ph.D

Psychologist in Bangor, ME. Individual provider (NPI-1).

NPI number1477584019
StatusActive
Last updated in NPPESApr 1, 2020

Details

NPI
1477584019
Entity type
Individual (NPI-1)
Name
Dr. Laura Elizabeth Santilli
Credential
Ph.D
Sex
Female
Sole proprietor
No
Enumeration date
Jul 5, 2006
Certification date
Apr 1, 2020
Last updated
Apr 1, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
Can order and refer
Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X PsychologistPS 801MEYes

Practice location

133 Corporate Dr
Emmc
Bangor, ME 04401-4312

Phone 207-275-4268 · Fax 207-275-4277

Mailing address

43 Whiting Hill Rd Ste 300
Brewer, ME 04412-1006

Phone 207-275-4268 · Fax 207-275-4227

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Psychologist providers in Bangor, ME

All 33 Psychologist providers in Bangor · All 3,717 providers in Bangor

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