Organization
MARY DAVIS, PHD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY DAVIS PHD (PSYCHOLOGIST)
(208) 345-7358
Entity
Organization
Contact information
Practice address
1221 W HAYS ST, BOISE, ID 83702-5316
(208) 345-7358
Mailing address
1221 W HAYS ST, BOISE, ID 83702-5316
(208) 345-7358
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY-275
ID
Other
Enumeration date
07/26/2006
Last updated
08/22/2020
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