Christie, Ann M

Christie, Ann M is an sole proprietor health care provider with primary practice located at 205 Ocean Ave , Portland ME 04103-5712. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Christie, Ann M can be contacted via phone (207) 773-7993.

Contact Information

Primary practice address
205 Ocean Ave Portland ME 04103-5712
Phone: (207) 773-7993
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY002054 Georgia
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY 5523 Florida
Behavioral Health & Social Service Providers / School 103TS0200X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS1197 Maine

Profile Details

NPI number 1568686541
LBN Legal business name Christie, Ann M
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2007
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568686541 NPPES
Georgia MEDICAID 000741584A
Georgia Other 200300
Georgia MEDICAID 432779400
Georgia Other 10751280
Georgia Other 461740
Georgia Other 582452807

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