| Doctor Name: | MARY-LYNN CORRADI |
| NPI Number: | 1043279078 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | CC2331 |
| Business Practice Address: | 52 Cove St Portland, ME - 041012514 |
| Business Phone Number: | 2072725918 |
| Business Fax Number: | 9782252251 |
| Mailing Address: | 95 Parker St, NEWBURYPORT |
| State: | MA |
| Postal Code: | 019504033 |
| Phone Number: | 9782252250 |
| Fax Number: | 9782252251 |
| NPI Enumeration Date: | 03/20/2006 |
| NPI Last Update Date: | 08/17/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | CC2331 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |