| Dialectical And Cognitive Behavioral Therapy Of Nh, Pllc | |
|
1321 Washington Ave Suite 304 Portland ME 04103-3636 | |
| (323) 723-2864 | |
| Not Available |
| Full Name | Dialectical And Cognitive Behavioral Therapy Of Nh, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1321 Washington Ave, Portland, Maine |
| Authorized Official Name and Position | Lisa A Lawry (SOLE MEMBER) |
| Authorized Official Contact | 6039370094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dialectical And Cognitive Behavioral Therapy Of Nh, Pllc 1321 Washington Ave Suite 304 Portland ME 04103-3636 Ph: (323) 723-2864 | Dialectical And Cognitive Behavioral Therapy Of Nh, Pllc 1321 Washington Ave Suite 304 Portland ME 04103-3636 Ph: (323) 723-2864 |
| NPI Number | 1518304872 |
|---|---|
| Provider Enumeration Date | 05/28/2013 |
| Last Update Date | 05/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518304872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LC1039 (Maine) | Primary |
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