Individual
DR. ELLIOT J DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
19 CAMPUS BLVD, SUITE 102 DELAWARE COUNTY PROFESSIONAL SERVICES, NEWTOWN SQUARE, PA 19073
(610) 356-2100
(610) 356-6645
Mailing address
1204 HOLLY LANE, GLEN MILLS, PA 19342
(610) 356-2100
(610) 356-6645
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS003887L
PA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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