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DR. DAVID P DAVIS PH.D.
Clinical >> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1619082039
Individual Registrant:DR. DAVID P DAVIS PH.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
7195 W FALCON VIEW PASS MARANA, AZ 85658-4986 US
Tel: 808-756-1863 Fax: 820-352-9602
Tel: 808-756-1863 Fax: 820-352-9602
Contact information for business:
7195 W FALCON VIEW PASS MARANA, AZ 85658-4986 US
Tel: 808-756-1863 Fax: 520-352-9602
Tel: 808-756-1863 Fax: 520-352-9602
Registration Information:
NPI: 1619082039
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103TC0700X | Behavioral Health & Social Service Providers Psychologist Clinical | HI | PSY 212 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| GROUP NPI FOR DAVID P DAVIS, PH.D., LLC | 1487760484 | 01 | |
| 047310 | HI | 05 |
