Individual
CHARLES ANDREW DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1784 CENTURY BLVD NE STE A, ATLANTA, GA 30345-3313
(402) 370-6778
Mailing address
1784 CENTURY BLVD NE STE A, ATLANTA, GA 30345-3313
(402) 370-6778
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY004112
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY004112
PSYCHOLOGIST LICENSE
GA
Enumeration date
09/19/2010
Last updated
04/29/2025
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