Davis, Katherine M

Davis, Katherine M is an sole proprietor health care provider with primary practice located at 43 Columbia St Suite 11, Bangor ME 04401-6346. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Davis, Katherine M can be contacted via phone (207) 941-8829.

Contact Information

Primary practice address
43 Columbia St Suite 11 Bangor ME 04401-6346
Fax: (207) 825-3827
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC3871 Maine

Profile Details

NPI number 1043258882
LBN Legal business name Davis, Katherine M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1043258882 NPPES
Maine Other 7675142 AETNA
Maine Other 11255707 AETNA
Maine Other 037459 AETNA

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