Provider Demographics
NPI:1932512589
Name:KRIER, MASHELLE LOUISE
Entity Type:Individual
Prefix:MRS
First Name:MASHELLE
Middle Name:LOUISE
Last Name:KRIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 BALTIMORE AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-4451
Mailing Address - Country:US
Mailing Address - Phone:207-317-0049
Mailing Address - Fax:
Practice Address - Street 1:51 BALTIMORE AVE
Practice Address - Street 2:
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-4451
Practice Address - Country:US
Practice Address - Phone:207-317-0049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-10
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional