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Individual

DR. CAROLYN E DAVIDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(615) 618-7295
Mailing address
2308 ARROYO DR, CHATTANOOGA, TN 37421-2823
(423) 432-8959

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1729
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0172012
BLUE CROSS BLUE SHIELD
TN
Enumeration date
10/03/2006
Last updated
02/17/2021
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