Doctor Name: | LYDIA DEERE-MACLEOD |
NPI Number: | 1134556194 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW-CC |
License Number: | MC14439 |
Business Practice Address: | 19 Timber Lane Newcastle, ME - 04553 |
Business Phone Number: | 2075932664 |
Business Fax Number: | |
Mailing Address: | 19 Timber Lane, NEWCASTLE |
State: | ME |
Postal Code: | 04553 |
Phone Number: | 2075932664 |
Fax Number: | |
NPI Enumeration Date: | 10/04/2013 |
NPI Last Update Date: | 10/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | MC14439 |
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 |