Doctor Name: | MARY ELIZABETH PETRINI |
NPI Number: | 1376759456 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC-C |
License Number: | LS7683 |
Business Practice Address: | 32 College Ave Suite 206 Waterville, ME - 04901 |
Business Phone Number: | 2076802065 |
Business Fax Number: | 2076802068 |
Mailing Address: | 157 Park St, Suite 5 BANGOR |
State: | ME |
Postal Code: | 04901 |
Phone Number: | 2079920710 |
Fax Number: | 2079920414 |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 08/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171W00000X |
License Number: | LS7683 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Contractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |