- Practice location
- 236A Portland RD, Bridgton, ME 04009
- Phone
- 207-647-2400
- Fax
- 207-647-2400
- Last updated
- November 4, 2008
R. Andrew Derstine is a Counselor, Mental Health based in Bridgton, ME. R. Andrew Derstine practices in Bridgton, ME and has the professional credentials of LCSW. The NPI Number for R. Andrew Derstine is 1114051984. The current practice location address for R. Andrew Derstine is 236A Portland RD, Bridgton, ME 04009 and can be reached out via phone at 207-647-2400 and via fax at 207-647-2400.
Provider Profile Details
- NPI Number
- 1114051984
- Provider Name
- R. Andrew Derstine
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 236A Portland RD, Bridgton, ME 04009
- Phone Number
- 207-647-2400
- Fax Number
- 207-647-2400
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 15, 2007
- Last Update Date
- November 4, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 236A Portland RD
Bridgton, ME 04009 - City
- Bridgton
- State
- Maine
- Zip
- 04009
- Phone Number
- 207-647-2400
- Fax Number
- 207-647-2400
Provider Business Mailing Address Details
- Address
- Po Box 731
Bridgton, ME 04009 - City
- Bridgton
- State
- ME
- Zip
- 04009
- Phone Number
- 207-647-2400
- Fax Number
- 207-647-2400
License Information
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Bridgton, ME
View all Counselor, Mental Health providers in Bridgton →- Alisha L Iddings, CACCounselor, Mental Health · NPI 1407680549
- Brianna J MeisterCounselor, Mental Health · NPI 1205215290
- Ellia Manners, LCPCCounselor, Mental Health · NPI 1386678407
- Georgia ShanksCounselor, Mental Health · NPI 1386535623
- Kelsey Brockett, LCPC-CCounselor, Mental Health · NPI 1821572355
- Madeline WelchCounselor, Mental Health · NPI 1831808815
Frequently Asked Questions
What is the NPI number of Mr. R. A Derstine, LCSW?
The NPI number of Mr. R. A Derstine, LCSW is 1114051984. It was assigned on March 15, 2007 and is currently active in the NPPES registry.
What is the specialty of Mr. R. A Derstine, LCSW?
Mr. R. A Derstine, LCSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Mr. R. A Derstine, LCSW practice?
The practice location is 236A Portland RD, Bridgton, ME 04009. The office can be reached at 207-647-2400 (phone) or 207-647-2400 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114051984 directly on the NPPES registry website.