Eddy, Marina D

Eddy, Marina D is an sole proprietor health care provider with primary practice located at 17 Briarwood Ln , Portland ME 04103-2775. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Eddy, Marina D can be contacted via phone (207) 233-5778.

Contact Information

Primary practice address
17 Briarwood Ln Portland ME 04103-2775
Phone: (207) 233-5778
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CADC CAC2971 Maine
Behavioral Health & Social Service Providers / Clinical 1041C0700X LICSW 113669 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW LC7299 Maine

Profile Details

NPI number 1417019274
LBN Legal business name Eddy, Marina D
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2006
Last updated Jul 8th, 2007 - about 19 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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