Doctor Name: | AMY LYNN MORIN |
NPI Number: | 1477565125 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LC8143 |
Business Practice Address: | 175 W Broadway Lincoln, ME - 044574000 |
Business Phone Number: | 2077946700 |
Business Fax Number: | 2077946777 |
Mailing Address: | Po Box 99, LINCOLN |
State: | ME |
Postal Code: | 044570099 |
Phone Number: | 2077946700 |
Fax Number: | 2077946777 |
NPI Enumeration Date: | 08/12/2006 |
NPI Last Update Date: | 05/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LC8143 |
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 |