Mccarthy, Suzanne Rose

Mccarthy, Suzanne Rose is an individual health care provider with primary practice located at 165 Lancaster St , Portland ME 04101-2406. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mccarthy, Suzanne Rose can be contacted via phone (207) 874-1030.

Contact Information

Primary practice address
165 Lancaster St Portland ME 04101-2406
Phone: (207) 874-1030
Fax: (207) 874-1044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X CC2552 Maine
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CC2552 Maine

Profile Details

NPI number 1588611156
LBN Legal business name Mccarthy, Suzanne Rose
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Sep 11th, 2012 - about 12 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 1588611156 NPPES
Maine MEDICAID 290030099

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