Search › Maine › 1041S0200X
Lawrence Herdade, LCSW
NPI 1609173673 · on the registry since 2011 · sole proprietor
Practice
- Address
- 195 North St
Portland, ME 04101 - Phone
- (207) 874-8228
- Fax
- (207) 874-8234
- Organisation at this address
- Portland Community Health Center
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1041S0200X
1041S0200X
- Also registered as
- 1041C0700X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-02-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine