Provider Demographics
NPI:1972722031
Name:LANPHEAR, DOROTHY JANE (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:JANE
Last Name:LANPHEAR
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:DOROTHY
Other - Middle Name:JANE
Other - Last Name:LANPHEAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCPC
Mailing Address - Street 1:9 FIELD ST
Mailing Address - Street 2:SUITE 438
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-6661
Mailing Address - Country:US
Mailing Address - Phone:207-338-4378
Mailing Address - Fax:207-338-4378
Practice Address - Street 1:9 FIELD ST
Practice Address - Street 2:SUITE 438
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-6661
Practice Address - Country:US
Practice Address - Phone:207-338-4378
Practice Address - Fax:207-338-4378
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC2179101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health