Healthcare Provider Details

I. General information

NPI: 1780654723
Provider Name (Legal Business Name): LYNNE B DRINKARD PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 05/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 FERRY RD
SACO ME
04072-2111
US

IV. Provider business mailing address

14 FERRY RD
SACO ME
04072-2111
US

V. Phone/Fax

Practice location:
  • Phone: 207-712-8083
  • Fax:
Mailing address:
  • Phone: 207-712-8083
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS 1067
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: