Provider Demographics
NPI:1053689422
Name:DEANE, MARY ELIZABETH (LMHC, LCMHC, ATR)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:ELIZABETH
Last Name:DEANE
Suffix:
Gender:
Credentials:LMHC, LCMHC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 AIRPORT DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909-6943
Mailing Address - Country:US
Mailing Address - Phone:339-707-0586
Mailing Address - Fax:
Practice Address - Street 1:40R MERRIMAC ST STE 201
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-2000
Practice Address - Country:US
Practice Address - Phone:339-707-0586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-13
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC7468101YM0800X
MA8705101YM0800X
NH2206101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health