Loretta Lee Severson
Clinical Psychologist
51 Main St
Lincoln
, Maine 04457-1439
Loretta Lee Severson
Clinical Psychologist
51 Main St
Lincoln
, Maine 04457-1439
(207) 290-1924
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Loretta Lee Severson
- Po Box 92
- Medway, ME
- Zip : 04460-0092
- Phone : (207) 290-1924
Second Address
- Loretta Lee Severson
- 51 Main St
- Lincoln, ME
- Zip : 04457-1439
- Phone : (207) 290-1924
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | PS1263 | ME |
| Y | 103TC0700X | Clinical Psychologist | PS1263 | ME |
National Provider Identifier
| NPI | 1013157650 |
|---|---|
| Provider Name | Loretta Lee Severson |
| First Address | Medway, ME 04460-0092 |
| Second Address | Lincoln, ME 04457-1439 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/02/2009 |
| Last Update Date | 05/08/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 433573599 | (05) | ME |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.