Doctor Name: | DR. NORMA JEAN LECLAIR |
NPI Number: | 1346467842 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | CC 129 |
Business Practice Address: | 25 Pleasant View Dr Gray, ME - 040399572 |
Business Phone Number: | 2074283055 |
Business Fax Number: | 2074283069 |
Mailing Address: | Po Box 1140, 25 Pleasant View Dr GRAY |
State: | ME |
Postal Code: | 040391140 |
Phone Number: | 2074283055 |
Fax Number: | 2074283069 |
NPI Enumeration Date: | 04/19/2007 |
NPI Last Update Date: | 06/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | CC 129 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |