Russell-Bedder, Aura

Russell-Bedder, Aura is an sole proprietor health care provider with primary practice located at 38 Falcon Dr , Auburn ME 04210-4384. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Russell-Bedder, Aura can be contacted via phone (207) 784-1356.

Contact Information

Primary practice address
38 Falcon Dr Auburn ME 04210-4384
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC11416 Maine

Profile Details

NPI number 1033246715
LBN Legal business name Russell-Bedder, Aura
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2007
Last updated Feb 4th, 2008 - about 16 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 1033246715 NPPES
Maine MEDICAID 432119700

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