Individual
DR. AMY LOUCK DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1139 E GRANT ST, MACOMB, IL 61455-3439
(937) 266-7028
Mailing address
1139 E GRANT ST, MACOMB, IL 61455-3439
(937) 266-7028
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007794
IL
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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