Doctor Name: | MS. SUSANNE E FOREST |
NPI Number: | 1184845190 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 033628 |
Business Practice Address: | 170 E Side Rd Hancock, ME - 046403917 |
Business Phone Number: | 2074228271 |
Business Fax Number: | |
Mailing Address: | 170 E Side Rd, HANCOCK |
State: | ME |
Postal Code: | 046403917 |
Phone Number: | 2074228271 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 033628 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |