Healthcare Provider Details

I. General information

NPI: 1649499864
Provider Name (Legal Business Name): MSAD 9
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 SCHOOL LN
NEW SHARON ME
04955-3411
US

IV. Provider business mailing address

11 SCHOOL LN
NEW SHARON ME
04955-3411
US

V. Phone/Fax

Practice location:
  • Phone: 207-778-9517
  • Fax: 207-778-4160
Mailing address:
  • Phone: 207-778-9517
  • Fax: 207-778-4160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: EDWARD FERREIRA
Title or Position: DIRECTOR OF SPECIAL SERVICES
Credential:
Phone: 12077789517