Provider Demographics
NPI:1861541856
Name:VEIT, MARY M (PHD LCSW)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:M
Last Name:VEIT
Suffix:
Gender:F
Credentials:PHD LCSW
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:M
Other - Last Name:MCDAVITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 893
Mailing Address - Street 2:
Mailing Address - City:ELLSWORTH
Mailing Address - State:ME
Mailing Address - Zip Code:04605-0893
Mailing Address - Country:US
Mailing Address - Phone:207-667-2111
Mailing Address - Fax:
Practice Address - Street 1:710 BUCKSPORT ROAD
Practice Address - Street 2:
Practice Address - City:ELLSWORTH
Practice Address - State:ME
Practice Address - Zip Code:04605
Practice Address - Country:US
Practice Address - Phone:207-667-2111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC6711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical