| Doctor Name: | MARIA A MOUSTROUPHIS |
| NPI Number: | 1003037912 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW, LADC |
| License Number: | ME317297 |
| Business Practice Address: | 575 Forest Ave Portland, ME - 041011513 |
| Business Phone Number: | 2077721187 |
| Business Fax Number: | |
| Mailing Address: | 45 Memory Ln, SOUTH PORTLAND |
| State: | ME |
| Postal Code: | 041066149 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/01/2007 |
| NPI Last Update Date: | 08/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | ME317297 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |