NPI 1417189606

Amy Wyeth Buck

Practitioner Child Intellectual and/or Developmental Disabilities Respite Care Gardiner, ME

Practice location

Address: 14 Bucks Ln, Gardiner, ME 04345-6270
Phone: (207) 582-1278

Registered specialties

Child Intellectual and/or Developmental Disabilities Respite Care Primary

Respite Care Facility Taxonomy 385HR2060X

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Registry record

NPI: 1417189606
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Aug 2009
Record last updated: 20 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.