MS. Susan A Anzivino, PHD

NPI #1790774479 in Farmington, Maine

Provider Information

NPI Number: 1790774479
Entity Type: Individual
Name: MS. Susan A Anzivino, PHD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Counselor
Credential: PHD
Enumeration Date: Oct 17, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 131 FRANKLIN HEALTH CMNS
Address 2: STE A
City: Farmington
State: Maine
ZIP Code: 04938-6142
Phone: (207) 778-0035

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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