| Doctor Name: | PENNY J DOUPHINETT |
| NPI Number: | 1437227220 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW-C |
| License Number: | MC10562 |
| Business Practice Address: | 49 Congress St Rumford, ME - 042762014 |
| Business Phone Number: | 2073647981 |
| Business Fax Number: | 2073647983 |
| Mailing Address: | 240 Trapp Rd, AUBURN |
| State: | ME |
| Postal Code: | 042108628 |
| Phone Number: | 2077827210 |
| Fax Number: | |
| NPI Enumeration Date: | 12/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | MC10562 |
| 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 |