St. Thomas, Bruce Conrad

St. Thomas, Bruce Conrad is an sole proprietor health care provider with primary practice located at 545 Westbrook St , South Portland ME 04106-1909. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. St. Thomas, Bruce Conrad can be contacted via phone (207) 772-4789.

Contact Information

Primary practice address
545 Westbrook St South Portland ME 04106-1909
Phone: (207) 772-4789
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X CC458 Maine
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MF301 Maine

Profile Details

NPI number 1497086714
LBN Legal business name St. Thomas, Bruce Conrad
Credentials ED.,D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2010
Last updated Jan 26th, 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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