Provider Demographics
NPI:1255393799
Name:NORMANDEAU, DEANA M (LCPC)
Entity type:Individual
Prefix:
First Name:DEANA
Middle Name:M
Last Name:NORMANDEAU
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 PORTLAND RD
Mailing Address - Street 2:
Mailing Address - City:KENNEBUNK
Mailing Address - State:ME
Mailing Address - Zip Code:04043-6657
Mailing Address - Country:US
Mailing Address - Phone:207-809-3859
Mailing Address - Fax:925-226-4051
Practice Address - Street 1:56 PORTLAND RD
Practice Address - Street 2:
Practice Address - City:KENNEBUNK
Practice Address - State:ME
Practice Address - Zip Code:04043-6657
Practice Address - Country:US
Practice Address - Phone:207-809-3859
Practice Address - Fax:925-226-4051
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-03
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC3129101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor