| Doctor Name: | DR. SUSAN LICHTMAN MAATAOUI |
| NPI Number: | 1831152180 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PS802 |
| Business Practice Address: | 1000 Shore Rd Bldg 326 Cape Elizabeth, ME - 041071916 |
| Business Phone Number: | 2077671130 |
| Business Fax Number: | |
| Mailing Address: | Po Box 6783, PORTLAND |
| State: | ME |
| Postal Code: | 041036783 |
| Phone Number: | 2077671130 |
| Fax Number: | |
| NPI Enumeration Date: | 04/08/2006 |
| NPI Last Update Date: | 09/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS802 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |