Provider Demographics
NPI:1801175252
Name:GELINAS, STEVI (NH CANDIDATE)
Entity type:Individual
Prefix:
First Name:STEVI
Middle Name:
Last Name:GELINAS
Suffix:
Gender:F
Credentials:NH CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 351
Mailing Address - Street 2:
Mailing Address - City:FRYEBURG
Mailing Address - State:ME
Mailing Address - Zip Code:04037-0351
Mailing Address - Country:US
Mailing Address - Phone:774-402-4791
Mailing Address - Fax:
Practice Address - Street 1:41 FIELD VIEW RD
Practice Address - Street 2:
Practice Address - City:FRYEBURG
Practice Address - State:ME
Practice Address - Zip Code:04037-4360
Practice Address - Country:US
Practice Address - Phone:774-402-4791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-16
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1259106H00000X
NH3407M225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist