Davenport - Dakin, Amy Marie

Davenport - Dakin, Amy Marie is an individual health care provider with primary practice located at 76 Fairview Ave , Augusta ME 04330-5832. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Davenport - Dakin, Amy Marie can be contacted via phone (603) 257-0258.

Contact Information

Primary practice address
76 Fairview Ave Augusta ME 04330-5832
Phone: (603) 257-0258
Fax: (888) 977-1570
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2166 Maine

Profile Details

NPI number 1376623652
LBN Legal business name Davenport - Dakin, Amy Marie
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Feb 28th, 2024 - about 2 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 1376623652 NPPES
Maine MEDICAID 266310000

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