Doctor Name: | CAROLYN SUGGS |
NPI Number: | 1124110267 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LC7697 |
Business Practice Address: | 1000 Shore Rd Bldg # 326 Cape Elizabeth, ME - 041071916 |
Business Phone Number: | 2074096441 |
Business Fax Number: | |
Mailing Address: | 186 S Richland St, SOUTH PORTLAND |
State: | ME |
Postal Code: | 041064728 |
Phone Number: | 2074096441 |
Fax Number: | |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 05/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LC7697 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |