Provider Demographics
NPI:1487804936
Name:USUAL, AMECIA DORE (ND)
Entity type:Individual
Prefix:DR
First Name:AMECIA
Middle Name:DORE
Last Name:USUAL
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9135 PISCATAWAY RD STE 340
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-2576
Mailing Address - Country:US
Mailing Address - Phone:301-856-7700
Mailing Address - Fax:301-856-7750
Practice Address - Street 1:9135 PISCATAWAY RD STE 340
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-2576
Practice Address - Country:US
Practice Address - Phone:301-856-7700
Practice Address - Fax:301-856-7750
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-21
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTND100126174400000X
CTND-100126175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Yes174400000XOther Service ProvidersSpecialist