Doctor Name: | DR. LORRAINE H HUCKEL |
NPI Number: | 1548444714 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D |
License Number: | PS758 |
Business Practice Address: | 65 Union Street Blue Hill, ME - 046140161 |
Business Phone Number: | 2073745811 |
Business Fax Number: | 8666209643 |
Mailing Address: | Po Box 161, BLUE HILL |
State: | ME |
Postal Code: | 046140161 |
Phone Number: | 2073745811 |
Fax Number: | 8666209643 |
NPI Enumeration Date: | 12/24/2007 |
NPI Last Update Date: | 12/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS758 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |