Ellyson, Catherine C.

Ellyson, Catherine C. is an individual health care provider with primary practice located at 95 Exchange St Suite 100, Portland ME 04101-5037. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Ellyson, Catherine C. can be contacted via phone (207) 871-1000.

Contact Information

Primary practice address
95 Exchange St Suite 100 Portland ME 04101-5037
Phone: (207) 871-1000
Fax: (207) 773-0472
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 068-0000646 Vermont
Behavioral Health & Social Service Providers / Professional 101YP2500X CC3038 Maine

Profile Details

NPI number 1568406239
LBN Legal business name Ellyson, Catherine C.
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 9th, 2007 - about 17 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 1568406239 NPPES
Maine Other 100196 ANTHEM

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