Individual
KASEY L DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1034 S BRENTWOOD BLVD STE 555, SAINT LOUIS, MO 63117-1265
(618) 506-0204
Mailing address
6812 TARA MANOR DR, FAIRVIEW HEIGHTS, IL 62208-2151
(618) 973-4108
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2758
WI
103TC0700X
Clinical Psychologist
Primary
2010022046
MO
Other
Enumeration date
10/15/2008
Last updated
09/15/2023
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