Organization
ROBERT W DAVIS MD PC
Active
Other names
Davis Psychiatric Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT W DAVIS M.D. (OWNER MEDICAL DOCTOR)
(504) 398-4300
Entity
Organization
Contact information
Practice address
229 BELLEMEADE BLVD, STE 404, GRETNA, LA 70056-7153
(504) 398-4300
(504) 392-6803
Mailing address
229 BELLEMEADE BLVD, STE 404, GRETNA, LA 70056-7153
(504) 398-4300
(504) 392-6803
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
805
LA
1041C0700X
Clinical Social Worker
1638
LA
174400000X
Specialist
Primary
8654
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1940003
—
LA
Enumeration date
07/06/2007
Last updated
01/25/2011
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