AMANDA JEANNE DAVIDSON NPI 1013479708

NPI Information

NPI: 1013479708
Provider Name: AMANDA JEANNE DAVIDSON
Classification: Clinic/Center - 261QM2800X
Entity Type: Individual

Specialization: Methadone

Address:
23 DUNCAN ST
GLOUCESTER, MA
ZIP 01930
Phone: (781) 990-9090
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Amanda Jeanne Davidson is a methadone clinic center in Gloucester, MA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. Amanda Jeanne Davidson NPI is 1013479708. 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:

23 DUNCAN ST
GLOUCESTER, MA
ZIP 01930-001
Phone: (781) 990-9090

The enumeration date for this NPI number is 4/2/2019 and was last updated on 4/2/2019.

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	261QM2800X	Clinic/Center	Methadone			Yes

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: 4/28/2024

NPI Synchronization or Removal

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