Individual
DR. ROBERT W DAVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
3340 SEVERN AVE, SUITE 206, METAIRIE, LA 70002-7407
(504) 889-1448
(504) 885-8752
Mailing address
3340 SEVERN AVE, SUITE 206, METAIRIE, LA 70002-7407
(504) 889-1448
(504) 885-8752
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
805
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1544051
—
LA
Enumeration date
08/08/2006
Last updated
08/07/2013
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