Individual
JAMES THOMAS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
334 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017-3464
(859) 301-5901
(859) 301-5940
Mailing address
PO BOX 635283, ST. ELIZABETH PHYSICIANS, CINCINNATI, OH 45263-5283
(859) 301-5901
(859) 301-5940
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00838
KY
103T00000X
Psychologist
5094
OH
103TC0700X
Clinical Psychologist
00838
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89000541
—
KY
Enumeration date
07/28/2005
Last updated
06/05/2019
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