Jeanne M Dorland is a Clinical in Bangor, Maine. Jeanne M Dorland practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeanne M Dorland is 1376584805. The last update date is 2010-10-27.
Jeanne M Dorland's current location address is 82 Columbia St, Bangor, Maine. You can contact this provider via phone number 2079428200 and fax number 2079903065. The mailing address for Jeanne M Dorland is 82 Columbia St, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeanne M Dorland |
|---|---|
| Address | 82 Columbia St, Bangor, Maine |
| Phone Number | 2079428200 |
| Fax Number | 2079903065 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1376584805 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2010-10-27 |
Provider Mailing Address Detail
| Address | 82 Columbia St |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44016357 |
| Phone Number | 2079428200 |
| Fax Number | 2079903065 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS1240 |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 431511499 | ME | -- | |
| 98304 | ME | ANTHEM LEGACY NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jeanne M Dorland?
The Jeanne M Dorland has been issued the NPI (National Provider Identifier) 1376584805 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Jeanne M Dorland is physically located?
The Jeanne M Dorland is situated at the following address: 82 Columbia St, Bangor, ME 44016357.
What is Jeanne M Dorland's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jeanne M Dorland is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
When did Jeanne M Dorland receive its 1376584805 assignment?
The Jeanne M Dorland was assigned its 1376584805 on 2006-06-08, which is the date when this unique identifier was issued to the organization.
As of what date were the Jeanne M Dorland's details last updated?
The information pertaining to the Jeanne M Dorland, including its address, specialty, and other details, was most recently updated on 2010-10-27.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN