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Contact Information

MARY ELLEN OSTHERR, MA LADC CCS
17 MASONIC STREET
ROCKLAND, ME04841
 Phone: 207-841-6775
 Fax: 207-236-8073
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for MARY ELLEN OSTHERR · (Female)

NPI Number 1407936669
Status Active
Credentials MA LADC CCS
Entity Individual
Enumeration date 10/16/2006
Last updated 06/11/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • ME License # LC3421
  • ME Medicaid 104000000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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