National Provider Identifier Database

SUSAN A ANZIVINO, PHD – NPI #1790774479
Counselor

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master?s degree and clinical experience and supervision for licensure or certification.


Contact Information

SUSAN A ANZIVINO, PHD
131 FRANKLIN HEALTH CMNS
STE A
FARMINGTON, ME04938-6142
Phone: 207-778-0035
Fax: 207-778-6879
Website:
Specialty Taxonomy Code
* Counselor 101Y00000X

* Indicates primary specialty

NPI Profile & details for SUSAN A ANZIVINO

NPI Number 1790774479
Credentials PHD
Entity Individual
Enumeration date 10/17/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • ME License #: CC433
Hospital affiliation n/a

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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