Fitzgibbons, Lee Ann

Fitzgibbons, Lee Ann is an individual health care provider with primary practice located at 104 Webbs Mills Rd , Raymond ME 04071-6316. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fitzgibbons, Lee Ann can be contacted via phone (207) 655-2737.

Contact Information

Primary practice address
104 Webbs Mills Rd Raymond ME 04071-6316
Fax: (207) 655-1065
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS1176 Maine

Profile Details

NPI number 1831165661
LBN Legal business name Fitzgibbons, Lee Ann
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1831165661 NPPES
Maine Other 061697 ANTHEM BC/BS OF ME PIN

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