Individual provider · Type 1 NPI

Amy Ellen Sanborn, MED CEIS CIMI

Specialist · Brockton, MA

NPI number 1891859393 Active

Practice location

1115 West Chestnut St
Brockton, MA 02301

Call (508) 559-0473 Map

Fax (508) 427-5361

Mailing address

78 Cypress St
Plymouth, MA 02360

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1891859393

Amy Ellen Sanborn, MED CEIS CIMI's National Provider Identifier is 1891859393, issued on Dec 20, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Brockton, MA. The record was last updated on Jul 8, 2007.