Doctor Name: | MRS. NICOLE PIETRINI RICHMAN |
NPI Number: | 1386603363 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LC5065 |
Business Practice Address: | 198 Main St Suite One Gorham, ME - 040381319 |
Business Phone Number: | 2078393535 |
Business Fax Number: | |
Mailing Address: | 56 Sydneys Way, GORHAM |
State: | ME |
Postal Code: | 040385864 |
Phone Number: | 2078932712 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2006 |
NPI Last Update Date: | 10/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LC5065 |
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 |