Individual
DR. ANDREW S. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-3103
Mailing address
9588 VALPARAISO CT, INDIANAPOLIS, IN 46268-1130
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
20041988A
IN
103T00000X
Psychologist
Primary
20041988A
IN
103TC0700X
Clinical Psychologist
20041988A
IN
103TS0200X
School Psychologist
20041988A
IN
Other
Enumeration date
05/27/2006
Last updated
08/02/2007
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