Grinnell, Audrey

Grinnell, Audrey is an individual health care provider with primary practice located at 37 Andover Rd , Portland ME 04102. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Grinnell, Audrey can be contacted via phone (207) 661-6704.

Contact Information

Primary practice address
37 Andover Rd Portland ME 04102
Phone: (207) 661-6704
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-20-40729 Maine
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1639695737
LBN Legal business name Grinnell, Audrey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2017
Last updated Sep 21st, 2021 - about 5 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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