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NPI Code Detail

MEDICARE: MS. KATHRYN DAVIS M.ED.

MEDICARE:  MS. KATHRYN  DAVIS  M.ED.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor471404MA

General Provider Information

NPI Number : 1104256619
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHRYN DAVIS M.ED.
Provider Business Mailing Address
First Line : 439 LINDSEY ST
Second Line :
City : ATTLEBORO
State : MA
Zip : 02703-1121
Country : US
Telephone Number : 774-254-4431
Fax Number :
Provider Business Practice Location Address
First Line : 160 GOULD ST
Second Line : SUITE 300
City : NEEDHAM HEIGHTS
State : MA
Zip : 02494-2313
Country : US
Telephone Number : 781-559-4900
Fax Number : 781-559-4900
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2013
Last Update Date : 11/19/2013

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Directions to “ MS. KATHRYN DAVIS M.ED.” Practice Location

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