Doctor Name: | MS. SHIRLEY ANN KIRKPATRICK-CLARKE |
NPI Number: | 1285843326 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | CC2053 |
Business Practice Address: | 63 Harrison Ave Dover Foxcroft, ME - 044261135 |
Business Phone Number: | 2075646535 |
Business Fax Number: | |
Mailing Address: | 1046 Milo Rd, SEBEC |
State: | ME |
Postal Code: | 044813245 |
Phone Number: | 2077172121 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 08/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | CC2053 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |