Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA JEANNE DAVIDSON
Active Sole ProprietorMethadone Clinic · GLOUCESTER, MA
Registration Details
- NPI Number
- 1013479708
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 2, 2019 (7.0523791068017 yrs)
- Last Updated
- Apr 2, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
23 DUNCAN STGLOUCESTER, MA, 019306001Browse MA providers · Browse ZIP 01930
- Phone
- 7819909090
- Primary Specialty
-
Methadone Clinic
261QM2800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.