| Scott J Davidson | |
|
9 Everett St Brunswick ME 04011-2403 | |
| (207) 751-5429 | |
| Not Available |
| Full Name | Scott J Davidson |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9 Everett St, Brunswick, Maine |
| Authorized Official Name and Position | Scott Davidson (OWNER) |
| Authorized Official Contact | 2077515429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott J Davidson Po Box 871 Brunswick ME 04011-0871 Ph: (207) 751-5429 | Scott J Davidson 9 Everett St Brunswick ME 04011-2403 Ph: (207) 751-5429 |
| NPI Number | 1144853433 |
|---|---|
| Provider Enumeration Date | 02/15/2020 |
| Last Update Date | 02/15/2020 |
| Certification Date | 02/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144853433 | NPI | - | NPPES |
| 135350000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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