Provider Demographics
NPI:1811950819
Name:DELANEY, MOLLY (PSYD)
Entity type:Individual
Prefix:DR
First Name:MOLLY
Middle Name:
Last Name:DELANEY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 WHITE OAK RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:DAMARISCOTTA
Mailing Address - State:ME
Mailing Address - Zip Code:04543-4257
Mailing Address - Country:US
Mailing Address - Phone:207-563-8522
Mailing Address - Fax:
Practice Address - Street 1:15 BELVEDERE RD
Practice Address - Street 2:
Practice Address - City:DAMARISCOTTA
Practice Address - State:ME
Practice Address - Zip Code:04543-4051
Practice Address - Country:US
Practice Address - Phone:207-563-8522
Practice Address - Fax:207-294-4649
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPS1075103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME320060099Medicaid
ME320060099Medicaid