| Thomas P Riddell, LCPC | |
|
50 Moody St, Saco, ME 04072-1536 | |
| (800) 434-3000 | |
| Not Available |
| Full Name | Thomas P Riddell |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 50 Moody St, Saco, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073829230 | NPI | - | NPPES |
| 265200099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CC1974 (Maine) | Primary |
| Entity Name | Port Resources |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053467779 PECOS PAC ID: 5496078206 Enrollment ID: O20150102000068 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas P Riddell, LCPC 50 Moody St, Saco, ME 04072-1536 Ph: (800) 434-3000 | Thomas P Riddell, LCPC 50 Moody St, Saco, ME 04072-1536 Ph: (800) 434-3000 |
Megan R Lancaster, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Main St, Saco, ME 04072 Phone: 617-447-3168 | |
Linda Reed, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 50 Moody St, Saco, ME 04072 Phone: 207-294-4657 | |
Kimberly Clark Chabot, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 893 Portland Rd, Unit 5, Saco, ME 04072 Phone: 207-829-5099 | |
Doreen Marie Alling, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 Cove Ave, Saco, ME 04072 Phone: 207-380-6889 | |
Kristen Walther, LMSW-CC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Moody St, Saco, ME 04072 Phone: 800-434-3000 | |
Mrs. Kristina Mont, LCPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 50 Moody St, Saco, ME 04072 Phone: 207-434-3000 | |
Mrs. Priscille Anne Dixon, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Moody St, Saco, ME 04072 Phone: 800-434-3000 |