| Brief Therapy Associates | |
|
95 India St Portland ME 04101-4250 | |
| (207) 672-2373 | |
| (207) 773-6207 |
| Full Name | Brief Therapy Associates |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 95 India St, Portland, Maine |
| Authorized Official Name and Position | Marilyn T. Bronzi (PRESIDENT) |
| Authorized Official Contact | 2076712373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brief Therapy Associates Po Box 14 South Freeport ME 04078-0014 Ph: (207) 671-2373 | Brief Therapy Associates 95 India St Portland ME 04101-4250 Ph: (207) 672-2373 |
| NPI Number | 1922058122 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 04/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922058122 | NPI | - | NPPES |
| 81669 | Other | ME | UNITED BEHAVIORAL HEALTH |
| 0004665 | Other | ME | MEDICARE PROVIDER TRANSACTION ACCESS NUMBER |
| 1032675 | Other | ME | CIGNA |
| 7853446 | Other | ME | AETNA |
| 016598 | Other | ME | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC4088 (Maine) | Primary |
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