Individual provider · Type 1 NPI

Mary Elizabeth Latendresse, LMT

Specialist · Portland, ME

NPI number 1851678064 Active

Practice location

218 Washington Ave
Portland, ME 04101-2632

Call (207) 773-5778 Map

Fax (207) 773-5773

Mailing address

30 Preble St, Apt 553
Portland, ME 04101-4936

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMT2239 (ME)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1851678064

Mary Elizabeth Latendresse, LMT's National Provider Identifier is 1851678064, issued on Nov 16, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, ME. The record was last updated on Jul 17, 2012.