Individual
MS. BRONWYN ELIZABETH UMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5 SCHOOL ST, SUITE # 10, ELLSWORTH, ME 04605-1932
(207) 667-8594
Mailing address
PO BOX 921, ELLSWORTH, ME 04605-0921
(207) 667-8594
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC3063
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100331
ANTHEM
ME
01
—
7401824
AETNA
ME
Enumeration date
01/19/2007
Last updated
07/08/2007
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