| Doctor Name: | MS. BRONWYN ELIZABETH UMPHREY |
| NPI Number: | 1164575593 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | CC3063 |
| Business Practice Address: | 5 School St Suite # 10 Ellsworth, ME - 046051932 |
| Business Phone Number: | 2076678594 |
| Business Fax Number: | |
| Mailing Address: | Po Box 921, ELLSWORTH |
| State: | ME |
| Postal Code: | 046050921 |
| Phone Number: | 2076678594 |
| Fax Number: | |
| NPI Enumeration Date: | 01/19/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | CC3063 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |