Devine, Deborah Jean

Devine, Deborah Jean is an sole proprietor health care provider with primary practice located at 20 Mechanic St , Gorham ME 04038-1560. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Devine, Deborah Jean can be contacted via phone (207) 839-2450.

Contact Information

Primary practice address
20 Mechanic St Gorham ME 04038-1560
Phone: (207) 839-2450
Fax: (207) 839-6469
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 670 Maine

Profile Details

NPI number 1780657197
LBN Legal business name Devine, Deborah Jean
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2006
Last updated Mar 12th, 2013 - about 13 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 1780657197 NPPES
Maine Other 025624 ANTHEM PROVIDER NUMBER
Maine MEDICAID 251920000 ANTHEM PROVIDER NUMBER

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