Doctor Name: | MS. SYLVIA IRENE INGERSON |
NPI Number: | 1558347385 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PMH-N, CNS |
License Number: | RO14261 |
Business Practice Address: | 322 Main St. Bar Harbor, ME - 04609 |
Business Phone Number: | 2072888604 |
Business Fax Number: | 2072888602 |
Mailing Address: | 322 Main St., M.d.i. Hospital Behavioral Health Center BAR HARBOR |
State: | ME |
Postal Code: | 04609 |
Phone Number: | 2072888604 |
Fax Number: | 2072886802 |
NPI Enumeration Date: | 12/22/2005 |
NPI Last Update Date: | 12/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0809X |
License Number: | RO14261 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |