Doctor Name: | MARGARET LONGSWORTH |
NPI Number: | 1417194242 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | CC1001 |
Business Practice Address: | 25 Freedom Pkwy Hermon, ME - 044011100 |
Business Phone Number: | 2078485804 |
Business Fax Number: | 2078487978 |
Mailing Address: | 25 Freedom Pkwy, HERMON |
State: | ME |
Postal Code: | 044011100 |
Phone Number: | 2078485804 |
Fax Number: | 2078487978 |
NPI Enumeration Date: | 01/15/2009 |
NPI Last Update Date: | 01/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | CC1001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |