Provider Demographics
NPI:1720031297
Name:SETTIN, JOAN GIANNA (PHD)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:GIANNA
Last Name:SETTIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:JOAN
Other - Middle Name:GIANNA
Other - Last Name:SETTIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:PO BOX 3224
Mailing Address - Street 2:
Mailing Address - City:BREWER
Mailing Address - State:ME
Mailing Address - Zip Code:04412-3224
Mailing Address - Country:US
Mailing Address - Phone:207-989-9009
Mailing Address - Fax:
Practice Address - Street 1:57 LAKE SHORE RD
Practice Address - Street 2:
Practice Address - City:HOLDEN
Practice Address - State:ME
Practice Address - Zip Code:04429-7007
Practice Address - Country:US
Practice Address - Phone:207-989-9009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME421103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME703327Medicare ID - Type Unspecified