Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ellen Miriam Grunblatt, MD, LCPC

Individual provider Professional Counselor · NPI 1114019759

Ellen Miriam Grunblatt, MD, LCPC is a Professional Counselor in Farmington, Maine. Practices as a sole proprietor. Licensed in Maine.

Licensed in
ME
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

672 Wilton Rd
Farmington, ME 04938-6138
Phone: (207) 778-5792
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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 XL3022 (ME)

Record details

NPI number1114019759
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , LCPC
Sole proprietorYes
NPI enumeratedSeptember 29, 2006
Last updated in NPPESApril 6, 2020
Certification dateApril 6, 2020

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