Individual
DR. RICHARD W. DAVIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
92 ADAMS ST, BURLINGTON, VT 05401-4525
(802) 863-6114
(802) 496-6955
Mailing address
92 ADAMS ST, BURLINGTON, VT 05401-4525
(802) 863-6114
(802) 496-6955
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
048-0000579
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN-0624
—
VT
Enumeration date
01/04/2006
Last updated
07/09/2007
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