Susannah Tully M. ED.

  • NPI 1558754200
According to our database, the NPI number for Susannah Tully M. ED. is 1558754200 and activated since 9 years ago. Susannah Tully M. ED. is an individual provider who specializes in Professional, and the primary practice location is 470 Forest Avenue, Portland, ME 04101. You can also contact Susannah Tully M. ED. via telephone number is (207) 854-1030. Provider NPI information was last updated on 03/05/2015.

Recently Active NPIs

Overview of Susannah Tully M. ED.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 03/05/2015
  • Last updated: 03/05/2015

Primary Scrop of Practice

  • Taxonomy Code: 101YP2500X
  • Specialty: Professional
  • License Number: CC4200
  • License State: ME

Provider Mailing Address

  • Address: 470 Forrester Avenue
    300
    Portland, ME 04101
  • Phone: 207-854-1030
  • Fax:

Provider Practice Location

  • Address: 470 Forest Avenue
    300
    Portland, ME 04101
  • Phone: 207-854-1030
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YP2500X
  • Specialty: Professional
  • License Number: CC4200
  • License State: ME
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: CC4200
  • Identifier Type: Other
  • Identifier State: ME
  • Issuer: MAINECARE

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Susannah Tully M. ED.?
  • A: The npi number for Susannah Tully M. ED. is 1558754200.
  • Q: What are Susannah Tully M. ED.'s specialties?
  • A: Susannah Tully M. ED.'s specialties are Professional and different specialities.
  • Q: What is the medical license for Susannah Tully M. ED.?
  • A: The medical license number for Susannah Tully M. ED. is CC4200 and issued in ME in USA.
  • Q: Where is Susannah Tully M. ED. practice location?
  • A: Susannah Tully M. ED. is practicing at 470 Forest Avenue, Portland, ME 04101.
  • Q: How to contact Susannah Tully M. ED.?
  • A: You can contact Susannah Tully M. ED. via 207-854-1030.