Davidson, Scott J

Davidson, Scott J is an individual health care provider with primary practice located at 9 Everett St , Brunswick ME 04011-2403. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Davidson, Scott J can be contacted via phone (207) 751-5429.

Contact Information

Primary practice address
9 Everett St Brunswick ME 04011-2403
Phone: (207) 751-5429
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSYCH000501 Maine
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS501 Maine

Profile Details

NPI number 1457386823
LBN Legal business name Davidson, Scott J
Credentials EDD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Feb 15th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457386823 NPPES
Maine MEDICAID 135350000
Maine Other 003544
Maine Other 5594271

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