Doctor Name: | LINDA S BROWN |
NPI Number: | 1245355734 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, CCS |
License Number: | LC8680 |
Business Practice Address: | 58 Portland Rd Ste 2 Kennebunk, ME - 040436651 |
Business Phone Number: | 2078419069 |
Business Fax Number: | 2075714311 |
Mailing Address: | Po Box 1191, 58 Portland Road, 2nd Floor Suite KENNEBUNK |
State: | ME |
Postal Code: | 040431191 |
Phone Number: | 2078419069 |
Fax Number: | 2075714311 |
NPI Enumeration Date: | 03/21/2007 |
NPI Last Update Date: | 03/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LC8680 |
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 |