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Mrs. Mary Ellen Lee
Developmental Disabilities Clinic/Center in Brewer, Maine
NPI 1285963041

Mary Ellen Lee is a Developmental Disabilities Clinic/Center based in Brewer, ME and is specialized in Developmental Disabilities. Mary Ellen Lee practices in Brewer, ME. The NPI Number for Mary Ellen Lee is 1285963041 and holds a License No. (Maine).

The current practice location address for Mary Ellen Lee is 727 N Main St, Brewer, ME and can be reached out via phone at 207-907-4160 and via fax at 207-907-4160.

Location: 727 N Main St, Brewer, ME, 04412-1260
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285963041
Provider Name
Mary Ellen Lee
Credential
Provider Entity Type
Individual
Gender
Female
Address
727 N Main St, Brewer, ME, 04412-1260
Phone Number
207-907-4160
Fax Number
207-907-4160
Provider Enumeration Date
12/08/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3002923 01 ME MAINECARE PROVIDER LICENSE NUMBER
432802900 01 ME MAINECARE BILLING NUMBER
VC0000112845 01 ME MAINECARE VENDOR NUMBER
institution
Provider Business Practice Location Address Details
Address
727 N Main St
City
Brewer
State
Maine
Zip
04412-1260
Phone Number
207-907-4160
Fax Number
207-907-4160
person
Provider Business Mailing Address Details
Address
727 N Main St
City
Brewer
State
Maine
Zip
04412-1260
Phone Number
207-907-4160
Fax Number
207-907-4160
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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