Richardson, Stephanie Duley

Richardson, Stephanie Duley is an sole proprietor health care provider with primary practice located at 52 Ocean St Suite 3, South Portland ME 04106-2829. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Richardson, Stephanie Duley can be contacted via phone (207) 450-5346.

Contact Information

Primary practice address
52 Ocean St Suite 3 South Portland ME 04106-2829
Phone: (207) 450-5346
Fax: (207) 221-1380
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X CC3920 Maine

Profile Details

NPI number 1316272164
LBN Legal business name Richardson, Stephanie Duley
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2009
Last updated Mar 5th, 2015 - about 10 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 1316272164 NPPES
Maine MEDICAID 434821199

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