Suzanne Simon is a Mental Health in Portland, Maine. Suzanne Simon practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Suzanne Simon is 1417966102. The last update date is 2007-07-09.
Suzanne Simon's current location address is 95 Exchange St, Portland, Maine. You can contact this provider via phone number 2078711000 and fax number 2077730472. The mailing address for Suzanne Simon is 95 Exchange St, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Suzanne Simon |
|---|---|
| Address | 95 Exchange St, Portland, Maine |
| Phone Number | 2078711000 |
| Fax Number | 2077730472 |
| Sole Proprietor | Y |
| Credentials | M.A. |
NPI Number Detail
| NPI Number | 1417966102 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 95 Exchange St |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 4101 |
| Phone Number | 2078711000 |
| Fax Number | 2077730472 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | CC2723 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 48364 | ME | PROVIDER #-ANTHEM | |
| 355527 | ME | PROVIDER #-MHN/TRICARE |
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What is the unique identifier code issued to Suzanne Simon by the Centers for Medicare & Medicaid Services?
The Suzanne Simon has been assigned the NPI (National Provider Identifier) 1417966102. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Suzanne Simon is physically located?
The Suzanne Simon is physically situated at the following address: 95 Exchange St, Portland, ME, 4101.
What is the Suzanne Simon's specialty and taxonomy code?
The Suzanne Simon's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
On what date did Suzanne Simon receive its 1417966102 assignment from the Centers for Medicare & Medicaid Services?
The Suzanne Simon was assigned its 1417966102 on 2006-08-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Suzanne Simon's details last updated?
The information pertaining to the Suzanne Simon, including its address, specialty, and other details, was most recently updated on 2007-07-09.
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