Mr Matthew Tiffany, LCPC | |
11 Medical Center Dr, Brunswick, ME 04011-2690 | |
(207) 373-9417 | |
Not Available |
Full Name | Mr Matthew Tiffany |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 11 Medical Center Dr, Brunswick, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336308709 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | CC3955 (Maine) | Secondary |
101YP2500X | Counselor - Professional | CC3955 (Maine) | Primary |
Entity Name | Spurwink Services Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760507297 PECOS PAC ID: 7810026945 Enrollment ID: O20100527000272 |
Mailing Address | Practice Location Address |
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Mr Matthew Tiffany, LCPC 98 Maine St, Brunswick, ME 04011-2031 Ph: (207) 518-8145 | Mr Matthew Tiffany, LCPC 11 Medical Center Dr, Brunswick, ME 04011-2690 Ph: (207) 373-9417 |
David R French, CADC Counselor Medicare: Medicare Enrolled Practice Location: 329 Bath Rd, Brunswick, ME 04011 Phone: 800-434-3000 | |
Susan Ferris Sealy, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Baribeau Dr, Brunswick, ME 04011 Phone: 207-373-6942 | |
Luna Aurelia Colt, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 Cumberland St, Brunswick, ME 04011 Phone: 802-595-3759 | |
Sandra J Smith, LADC, CCS, LMSW-CC Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Baribeau Dr, Suite 1a, Brunswick, ME 04011 Phone: 207-373-6996 Fax: 207-373-6959 | |
Marie Ann Abrahams, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 153 Park Row, Brunswick, ME 04011 Phone: 207-504-3587 | |
Bryan Smith, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Baribeau Dr, Suite 1a, Brunswick, ME 04011 Phone: 207-373-6971 Fax: 207-373-6959 | |
Ms. Emily M Michaud, LCPC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 66 Baribeau Dr Ste 2, Brunswick, ME 04011 Phone: 207-373-9741 Fax: 207-373-9494 |