Provider Demographics
NPI:1336340819
Name:MORNEAULT, RENE PAUL (RENE MORNEAULT)
Entity Type:Individual
Prefix:MR
First Name:RENE
Middle Name:PAUL
Last Name:MORNEAULT
Suffix:
Gender:M
Credentials:RENE MORNEAULT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:EDDINGTON
Mailing Address - State:ME
Mailing Address - Zip Code:04428-3142
Mailing Address - Country:US
Mailing Address - Phone:207-989-1381
Mailing Address - Fax:
Practice Address - Street 1:42 MEADOW LN
Practice Address - Street 2:
Practice Address - City:EDDINGTON
Practice Address - State:ME
Practice Address - Zip Code:04428-3142
Practice Address - Country:US
Practice Address - Phone:207-989-1381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator