Provider Demographics
NPI:1679510515
Name:VOIT, RICHARD A (PHD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:A
Last Name:VOIT
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 PARK ROW
Mailing Address - Street 2:SUITE 5
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-2039
Mailing Address - Country:US
Mailing Address - Phone:207-721-0500
Mailing Address - Fax:
Practice Address - Street 1:169 PARK ROW
Practice Address - Street 2:SUITE 5
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-2039
Practice Address - Country:US
Practice Address - Phone:207-721-0500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-31
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPY1029103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME100533OtherMAGELLAN
ME68764OtherCIGNA
ME027806OtherANTHEM BC & BS
ME095985OtherMHN
MES014755OtherTRICARE
ME4339633OtherAETNA
MAW03137OtherBLUE CROSS & BLUE SHIELD
ME4339633OtherAETNA