Joann Schladale, LMFT

Individual provider Active NPI Marriage & Family Therapist · Freeport, ME

NPI 1659526192 · NPPES record last updated Nov 25, 2008

Key facts

NPI
1659526192
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MF2373 (ME)
Practice address
28 Marshview Dr
Freeport, ME 04032-6046
Phone
(207) 865-3111
NPI assigned
Nov 25, 2008
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MF2373MEMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Resources for Resolving Violence Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MF2373 ME Yes

Addresses

Primary practice location

28 Marshview Dr
Freeport, ME 04032-6046

Mailing address

28 Marshview Dr
Freeport, ME 04032-6046
Phone (207) 865-3111

Other providers in Freeport, ME

All providers in Freeport, ME · Marriage & Family Therapist in Maine

Sources for this page

Verify at the official NPI Registry.