Individual
DR. BLAIR J DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
EVERGREEN COUNSELING & PSYCHOLOGICAL ASSOC, TOP OF THE HILL PLAZA, 8705 GERMANTOWN AVE, PHILADELPHIA, PA 19118
(215) 247-5400
Mailing address
423 SHAWMONT AVE APT B, PHILADELPHIA, PA 19128-4045
(215) 259-8821
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
24930
CA
103TC0700X
Clinical Psychologist
Primary
PS019461
PA
Other
Enumeration date
08/03/2018
Last updated
10/16/2024
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