Individual
DR. CLAYTIE DAVIS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2222 BANCROFT WAY, BERKELEY, CA 94720-4304
(510) 642-9336
(510) 642-2368
Mailing address
2222 BANCROFT WAY, BERKELEY, CA 94720-4304
(510) 642-9336
(510) 642-2368
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY 17206
CA
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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