Simone Elisabeth Cromwell, MA, LMFTTC
Individual provider Active NPI Marriage & Family Therapist · Bangor, ME
NPI 1598044620 · NPPES record last updated Aug 7, 2011
Key facts
- NPI
- 1598044620
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- TXM3837 (ME)
- Practice address
- 360 Harlow St
Bangor, ME 04401-4908 - Phone
- (877) 668-8678
- NPI assigned
- Aug 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TXM3837 | ME | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | TXM3837 | ME | Yes |
Addresses
Primary practice location
360 Harlow St
Bangor, ME 04401-4908
Mailing address
PO Box 92
East Blue Hill, ME 04629-0092
Phone (207) 374-2137
Other providers in Bangor, ME
- Guillermo J Crespo
- Cynthia Jeanine Crockett
- Jeremy Matthew Crockett
- Carmen Denise Crofoot
- Jessica Summer Brooke Cromwell
- Jennifer Louise Crone
- Jamie L/ Cronin
- Laurie Jean Cronin
- Abigail J Cronkite
- Vicki L Cropley
All providers in Bangor, ME · Marriage & Family Therapist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.