Provider Demographics
NPI:1043012172
Name:DAVIS, BRIDGET ALISON
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:ALISON
Last Name:DAVIS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 495
Mailing Address - Street 2:
Mailing Address - City:BELGRADE LAKES
Mailing Address - State:ME
Mailing Address - Zip Code:04918-0495
Mailing Address - Country:US
Mailing Address - Phone:207-852-6151
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 495
Practice Address - Street 2:
Practice Address - City:BELGRADE LAKES
Practice Address - State:ME
Practice Address - Zip Code:04918-0495
Practice Address - Country:US
Practice Address - Phone:207-852-6151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-27
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker