Patricia Proulx-Lough, LMFT
Individual provider Active NPI Marriage & Family Therapist · Lewiston, ME
NPI 1801033303 · NPPES record last updated Jan 21, 2009
Key facts
- NPI
- 1801033303
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MF2538 (ME)
- Practice address
- 1155 Lisbon St
Lewiston, ME 04240-5025 - Phone
- (207) 783-9141
- NPI assigned
- Jan 21, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MF2538 | ME | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MF2538 | ME | Yes |
Addresses
Primary practice location
1155 Lisbon St
Lewiston, ME 04240-5025
Mailing address
1155 Lisbon St
Lewiston, ME 04240-5025
Phone (207) 783-9141
Other providers in Lewiston, ME
- Christopher Priest
- Priority Care Residential
- Al-Elad Privorozky
- Proactive Physical Therapy,LLC
- Prospects Residential Care
- Brooke Proulx
- Provider Laboratory Services LLC
- Dafina Pruthi
- Deborah J Puckhaber
- Alisha Pulkkinen
All providers in Lewiston, 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 Jan 21, 2009. 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.