Individual
JOHN M. DAVIS IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
895 MORAGA RD, SUITE #10, LAFAYETTE, CA 94549-5094
(510) 693-8439
(925) 377-5345
Mailing address
895 MORAGA ROAD, SUITE #10, LAFAYETTE, CA 94549-5046
(510) 693-8439
(925) 377-5345
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 7189
CA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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