Provider Demographics
NPI:1750437125
Name:POHLMAN, DONNAJEAN
Entity type:Individual
Prefix:MS
First Name:DONNAJEAN
Middle Name:
Last Name:POHLMAN
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 1:60 FRONT STREET
Mailing Address - Street 2:SUITE 4
Mailing Address - City:WATERVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04901
Mailing Address - Country:US
Mailing Address - Phone:207-873-3226
Mailing Address - Fax:207-873-3226
Practice Address - Street 1:60 FRONT STREET
Practice Address - Street 2:SUITE 4
Practice Address - City:WATERVILLE
Practice Address - State:ME
Practice Address - Zip Code:04901
Practice Address - Country:US
Practice Address - Phone:207-873-3226
Practice Address - Fax:207-873-3226
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME40101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
060663OtherANTHEM BLUE CROSS