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AMANDA JEANNE DAVIDSON
NPI 1013479708
Clinic/Center - Methadone in Gloucester, MA

Active since April 02, 2019
23 DUNCAN ST, GLOUCESTER, MA 01930(781) 990-9090 Get Directions Write a Review

NPPES record last updated: April 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Jeanne Davidson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA JEANNE DAVIDSON (NPI 1013479708) is an individual methadone provider in Gloucester, Massachusetts and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1013479708
Entity TypeIndividualFemale
Primary Taxonomy261QM2800X
Provider Legal NameAMANDA JEANNE DAVIDSON
Location Address23 DUNCAN STGloucester, MA 01930-6001
Mailing Address23 Duncan StGloucester, MA 01930-6001 · (781) 990-9090
Phone(781) 990-9090
Sole ProprietorYes
Enumeration DateApril 2, 2019
✔ NPI 1013479708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
23 DUNCAN ST, Gloucester, MA 01930
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Davidson's NPI number?

The NPI number for Amanda Davidson is 1013479708. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Amanda Davidson located?

Amanda Davidson practices at 23 Duncan St, Gloucester, MA 01930. The listed phone number is (781) 990-9090.

What is Amanda Davidson's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

When was this NPI record last updated?

The NPPES record for Amanda Davidson was last updated on April 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.