Doctor Name: | RODNEY ST. LOUIS |
NPI Number: | 1003141052 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMSW-CC |
License Number: | MC7390 |
Business Practice Address: | 268 Stillwater Avenue Acadia Hospital Corp. Bangor, ME - 044010000 |
Business Phone Number: | 2079736100 |
Business Fax Number: | 2079736109 |
Mailing Address: | P.o. Box 422, Acadia Hospital Corp. BANGOR |
State: | ME |
Postal Code: | 044020422 |
Phone Number: | 2079736100 |
Fax Number: | 2079736109 |
NPI Enumeration Date: | 10/08/2009 |
NPI Last Update Date: | 10/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | MC7390 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |