Prichard, David C
Prichard, David C is an individual health care provider with primary practice located at 491 Stevens Ave , Portland ME 04103-2636. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Prichard, David C can be contacted via phone (207) 272-8841.Contact Information
Primary practice address
491 Stevens Ave
Portland ME 04103-2636
Phone: (207) 272-8841
Fax: (207) 221-4719
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 00795 | Maine |
Profile Details
| NPI number | 1295794139 |
|---|---|
| LBN Legal business name | Prichard, David C |
| Credentials | PH.D., LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2006 |
| Last updated | Jun 24th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295794139 | NPPES |
| Maine | MEDICAID | 432079899 |
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