Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA ELIZABETH DOUGLASS, DSP,CRMA
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · FAIRFIELD, ME
Registration Details
- NPI Number
- 1093214264
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 2, 2018 (8.2155596667695 yrs)
- Last Updated
- Feb 2, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
131 OAKLAND RDFAIRFIELD, ME, 049373229Browse ME providers · Browse ZIP 04937
- Phone
- 2074539152
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
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.