| Shelley Rosen Therapy Pllc | |
|
52 Center St Portland ME 04101-3902 | |
| (207) 699-8674 | |
| Not Available |
| Full Name | Shelley Rosen Therapy Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 52 Center St, Portland, Maine |
| Authorized Official Name and Position | Shelley Walker Rosen (PROVIDER) |
| Authorized Official Contact | 2076998674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelley Rosen Therapy Pllc 50 Market St Suite 1a Pmb 268 South Portland ME 04106-3647 Ph: (207) 699-8674 | Shelley Rosen Therapy Pllc 52 Center St Portland ME 04101-3902 Ph: (207) 699-8674 |
| NPI Number | 1558097600 |
|---|---|
| Provider Enumeration Date | 07/29/2022 |
| Last Update Date | 07/29/2022 |
| Certification Date | 07/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558097600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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