| Doreenpeasleylmft | |
|
9 Hastings St Portland ME 04102-2015 | |
| (207) 200-8507 | |
| Not Available |
| Full Name | Doreenpeasleylmft |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 9 Hastings St, Portland, Maine |
| Authorized Official Name and Position | Doreen Peasley (LICENSED MARRIAGE FAMILY THERAPIST) |
| Authorized Official Contact | 6196306013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doreenpeasleylmft 130 Fenway St Portland ME 04102-2405 Ph: (619) 630-6013 | Doreenpeasleylmft 9 Hastings St Portland ME 04102-2015 Ph: (207) 200-8507 |
| NPI Number | 1528694007 |
|---|---|
| Provider Enumeration Date | 03/17/2020 |
| Last Update Date | 03/17/2020 |
| Certification Date | 03/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528694007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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