Individual
MR. JAMES LEWIS DAVIDSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
5190 BAYOU BLVD, BLDG 6, PENSACOLA, FL 32503-2194
(850) 476-0977
(850) 476-2558
Mailing address
5190 BAYOU BLVD, BLDG 6, PENSACOLA, FL 32503-2194
(850) 476-0977
(850) 476-2558
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY2711
FL
Other
Enumeration date
07/29/2005
Last updated
07/08/2007
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