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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 Specialty Code Provider Type

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for SUSAN A ANZIVINO · (Female)

NPI # 1790774479
Status Active
Credentials PHD
Entity Individual
Enumeration date 10/17/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • ME License # CC433
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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