Doctor Name: | JAMES W DAVIS |
NPI Number: | 1023231578 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | LC4376 |
Business Practice Address: | 1155 Lisbon St Lewiston, ME - 042405025 |
Business Phone Number: | 2077839141 |
Business Fax Number: | |
Mailing Address: | 282 Oak Cir, GORHAM |
State: | ME |
Postal Code: | 040384026 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LC4376 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |