| Doctor Name: | SHELLIE LEGER |
| NPI Number: | 1073942470 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | LC4580 |
| Business Practice Address: | 181 Main St Norway, ME - 042685664 |
| Business Phone Number: | 2072947096 |
| Business Fax Number: | 2073937407 |
| Mailing Address: | 78 Atlantic Pl, SOUTH PORTLAND |
| State: | ME |
| Postal Code: | 041062316 |
| Phone Number: | 2078427701 |
| Fax Number: | 2078427773 |
| NPI Enumeration Date: | 11/06/2013 |
| NPI Last Update Date: | 06/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LC4580 |
| 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 |