Provider Demographics
NPI:1457566549
Name:SHEA, FRANCES P (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:P
Last Name:SHEA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 FESSENDEN ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04103-4819
Mailing Address - Country:US
Mailing Address - Phone:207-775-3090
Mailing Address - Fax:
Practice Address - Street 1:95 EXCHANGE STREET
Practice Address - Street 2:SUITE100
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101
Practice Address - Country:US
Practice Address - Phone:207-871-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMF2390106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME41Z099174ME01OtherANTHEM BLUE CROSS BLUE SH