Individual
MARTHA M DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6919 E. 10TH STREET, SUITE C-4, INDIANAPOLIS, IN 46219-4811
(317) 354-8401
(317) 354-8201
Mailing address
6919 E. 10TH STREET, SUITE C-4, INDIANAPOLIS, IN 46219-4811
(317) 354-8401
(317) 354-8201
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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