Doctor Name: | CYNTHIA L. DEMETRI |
NPI Number: | 1619930112 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC LADC |
License Number: | CC882 |
Business Practice Address: | 442 Moosehead Trail Newport, ME - 049532123 |
Business Phone Number: | 2073682072 |
Business Fax Number: | 2073685290 |
Mailing Address: | 12 Lambard Rd, 103 AUGUSTA |
State: | ME |
Postal Code: | 043305954 |
Phone Number: | 2073682072 |
Fax Number: | |
NPI Enumeration Date: | 04/07/2006 |
NPI Last Update Date: | 08/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | CC882 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |