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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568406239 | NPPES |
Maine | Other | 100196 | ANTHEM |
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