Magnuson, Elise C

Magnuson, Elise C is an sole proprietor health care provider with primary practice located at 251 Woodford St , Portland ME 04103-5617. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Magnuson, Elise C can be contacted via phone (207) 632-6965.

Contact Information

Primary practice address
251 Woodford St Portland ME 04103-5617
Phone: (207) 632-6965
Fax: (207) 761-8150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC11425 Maine
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS 1242 Maine

Profile Details

NPI number 1245361468
LBN Legal business name Magnuson, Elise C
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Sep 24th, 2019 - 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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