Spector, Susan Gibbons
Spector, Susan Gibbons is an individual health care provider with primary practice located at 42 Mallett Dr # 2 Suite 4, Freeport ME 04032-1355. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Spector, Susan Gibbons can be contacted via phone (207) 865-4547.Contact Information
Primary practice address
42 Mallett Dr # 2 Suite 4
Freeport ME 04032-1355
Phone: (207) 865-4547
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LC11578 | Maine |
Profile Details
| NPI number | 1922152750 |
|---|---|
| LBN Legal business name | Spector, Susan Gibbons |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Nov 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922152750 | NPPES |
| Maine | MEDICAID | 432049699 |
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