Provider Demographics
NPI:1205390374
Name:THE LINCOLN GROUP, PA
Entity Type:Organization
Organization Name:THE LINCOLN GROUP, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:COLAN
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:207-626-0025
Mailing Address - Street 1:167 WATER ST
Mailing Address - Street 2:
Mailing Address - City:HALLOWELL
Mailing Address - State:ME
Mailing Address - Zip Code:04347-1356
Mailing Address - Country:US
Mailing Address - Phone:207-626-0025
Mailing Address - Fax:207-685-3007
Practice Address - Street 1:167 WATER ST
Practice Address - Street 2:
Practice Address - City:HALLOWELL
Practice Address - State:ME
Practice Address - Zip Code:04347-1356
Practice Address - Country:US
Practice Address - Phone:207-626-0025
Practice Address - Fax:207-685-3007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-23
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty