Organization
DAVIS SOCIO-PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOMMY DAVIS PH.D. (PRESIDENT/PSYCHOLOGIIST)
(610) 245-3036
Entity
Organization
Contact information
Practice address
78 E STEWART AVE, LANSDOWNE, PA 19050-2032
(610) 245-3036
(610) 572-3444
Mailing address
78 E STEWART AVE, LANSDOWNE, PA 19050-2032
(610) 245-3036
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS-008126-L
PA
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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