Doctor Name: | ERIN E ROY-PELLETIER |
NPI Number: | 1528166998 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LC12269 |
Business Practice Address: | 21 Main St North Berwick, ME - 03906 |
Business Phone Number: | 2076762234 |
Business Fax Number: | |
Mailing Address: | 4 Golden Ln, SACO |
State: | ME |
Postal Code: | 040729386 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 09/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | LC12269 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |