MRS. MARY ELLEN LEE NPI 1285963041

NPI Information

NPI: 1285963041
Provider Name: MRS. MARY ELLEN LEE
Classification: Clinic/Center - 261QD1600X
Specialization: Developmental Disabilities
Entity Type: Individual
Address: 727 N MAIN ST
BREWER, ME
ZIP 04412
Phone: (207) 907-4160

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NPI Details

MRS. Mary Ellen Lee is a developmental disabilities clinic center in Brewer, ME. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). MRS. Mary Ellen Lee NPI is 1285963041. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

727 N MAIN ST
BREWER, ME
ZIP 04412-260
Phone: (207) 907-4160
Fax: (207) 907-4160

The enumeration date for this NPI number is 12/8/2009 and was last updated on 12/8/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD1600X	Clinic/Center	Developmental Disabilities			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	VC0000112845	OTHER	MAINE	MAINECARE VENDOR NUMBER
2	432802900	OTHER	MAINE	MAINECARE BILLING NUMBER
3	3002923	OTHER	MAINE	MAINECARE PROVIDER LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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