Individual
MR. ROGER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6817 SOUTHPOINT PKWY STE 904, 904, JACKSONVILLE, FL 32216-6293
(904) 332-9100
(904) 482-0647
Mailing address
6817 SOUTHPOINT PKWY STE 904, 904, JACKSONVILLE, FL 32216-6293
(904) 332-9100
(904) 482-0647
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 5281
FL
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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