Provider Demographics
NPI:1366618993
Name:YORK PSYCHOTHERAPY ASSOCIATES INC
Entity type:Organization
Organization Name:YORK PSYCHOTHERAPY ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:HANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:207-363-2164
Mailing Address - Street 1:192 YORK ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909-1021
Mailing Address - Country:US
Mailing Address - Phone:207-363-2164
Mailing Address - Fax:207-363-7808
Practice Address - Street 1:192 YORK ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:ME
Practice Address - Zip Code:03909-1021
Practice Address - Country:US
Practice Address - Phone:207-363-2164
Practice Address - Fax:207-363-7808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-04
Last Update Date:2008-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME00466103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty