Individual
JAMES ERIC DAVISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
186 HOSPITAL DR, GRANTSVILLE, WV 26147-7100
(304) 354-9244
(304) 354-9323
Mailing address
186 HOSPITAL DR, GRANTSVILLE, WV 26147-7100
(304) 354-9244
(304) 354-9323
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS005967L
PA
103TC1900X
Counseling Psychologist
699
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
699
STATE LICENSE
WV
Enumeration date
03/27/2014
Last updated
05/20/2020
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