Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Susannah Tully, MED

Individual provider Professional Counselor · NPI 1558754200

Susannah Tully, MED is a Professional Counselor in Portland, Maine. Licensed in Maine. Registered with an NPI since 2015.

Licensed in
ME
In the registry since
2015
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

470 Forest Avenue 300
Portland, ME 04101 Not confirmed with CMS for 11 years — call before visiting
Phone: (207) 854-1030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence CC4200 (ME)

Record details

NPI number1558754200
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED
Sole proprietorNo
NPI enumeratedMarch 5, 2015
Last updated in NPPESMarch 5, 2015

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