Individual
DR. JAMES PETER DAVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., LP
Contact information
Practice address
2688 MAPLEWOOD DR, MAPLEWOOD, MN 55109-1021
(651) 254-8150
(651) 481-4951
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4334
MN
103TB0200X
Cognitive & Behavioral Psychologist
LP4334
MN
103TC0700X
Clinical Psychologist
LP4334
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68267500
—
MN
Enumeration date
05/16/2006
Last updated
04/23/2021
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