Amanda Elizabeth Douglass, DSP,CRMA

NPI #1093214264 in Fairfield, Maine

Provider Information

NPI Number: 1093214264
Entity Type: Individual
Name: Amanda Elizabeth Douglass, DSP,CRMA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Credential: DSP,CRMA
Enumeration Date: Feb 2, 2018
Last Updated: Feb 2, 2018

Practice Location

Address: 131 OAKLAND RD
City: Fairfield
State: Maine
ZIP Code: 04937-3229
Phone: (207) 453-9152

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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