Doctor Name: | AMITY HOPE OLMSTEAD |
NPI Number: | 1871751834 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | CC3573 |
Business Practice Address: | 67 Eustis Pkwy Waterville, ME - 049015173 |
Business Phone Number: | 2075922710 |
Business Fax Number: | |
Mailing Address: | 67 Eustis Pkwy, WATERVILLE |
State: | ME |
Postal Code: | 049015173 |
Phone Number: | 2078732136 |
Fax Number: | |
NPI Enumeration Date: | 05/27/2008 |
NPI Last Update Date: | 09/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | CC3573 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |