| Mr David C Boothby, LCPC | |
|
445 Main St, Norway, ME 04268-5920 | |
| (207) 730-1723 | |
| Not Available |
| Full Name | Mr David C Boothby |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 445 Main St, Norway, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326234055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CC2197 (Maine) | Primary |
| Entity Name | Sweetser |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538122445 PECOS PAC ID: 8325946213 Enrollment ID: O20031230000339 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr David C Boothby, LCPC Po Box 526, Norway, ME 04268-0526 Ph: (207) 730-1723 | Mr David C Boothby, LCPC 445 Main St, Norway, ME 04268-5920 Ph: (207) 730-1723 |
Ernestine M Perreault, LADC, CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 Main St, Norway, ME 04268 Phone: 207-739-2644 | |
Michael Grenier, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 Main St, Norway, ME 04268 Phone: 207-739-2644 Fax: 207-739-2467 | |
Erica Smith, LADC, CCS Counselor Medicare: Accepting Medicare Assignments Practice Location: 235 Main St, Norway, ME 04268 Phone: 207-739-2677 | |
Catherine Clough-bell, LADC,CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 28 Winter St, Norway, ME 04268 Phone: 207-743-1677 Fax: 207-743-1614 | |
Karen Ann Bates, LADC, CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 146 Country Club Rd, Norway, ME 04268 Phone: 207-891-9911 | |
Andrea J Nichols, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 Main St, Norway, ME 04268 Phone: 207-739-2644 Fax: 207-739-2467 | |
Paul Hausman, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 Main St, Norway, ME 04268 Phone: 207-739-2644 Fax: 207-739-2467 |