Derthick, Annie

Derthick, Annie is an individual health care provider with primary practice located at 76 High St , Lewiston ME 04240. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Family is her primary health care specialty. Derthick, Annie can be contacted via phone (207) 795-2800.

Contact Information

Primary practice address
76 High St Lewiston ME 04240
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 107779 Alaska
Behavioral Health & Social Service Providers / Family 103TF0000X PS1563 Maine

Profile Details

NPI number 1689039422
LBN Legal business name Derthick, Annie
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2015
Last updated Sep 13th, 2018 - about 6 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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