Reppond, Phillip W

Reppond, Phillip W is an sole proprietor health care provider with primary practice located at 38 Plymouth Dr , Saco ME 04072-1734. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Reppond, Phillip W can be contacted via phone (207) 282-4920.

Contact Information

Primary practice address
38 Plymouth Dr Saco ME 04072-1734
Phone: (207) 282-4920
Fax: (707) 598-1038
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCS925 Maine
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS925 Maine

Profile Details

NPI number 1861653859
LBN Legal business name Reppond, Phillip W
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2008
Last updated Sep 3rd, 2010 - about 14 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 1861653859 NPPES
Maine MEDICAID 432427399

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