Individual
DR. JULIE ANN GRAVENER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1028 MAIN ST, SECOND FLOOR, BUFFALO, NY 14202-1102
(716) 859-5478
(716) 859-5585
Mailing address
1028 MAIN ST, SECOND FLOOR, BUFFALO, NY 14202-1102
(716) 859-5478
(716) 859-5585
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
021463
NY
Other
Enumeration date
11/30/2015
Last updated
11/30/2015
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