Individual
DR. KENNETH PAUL DAVISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1341 WARREN AVE, DOWNERS GROVE, IL 60515-3437
(630) 719-5454
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-006015
IL
Other
Enumeration date
07/17/2006
Last updated
12/29/2021
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