Individual
BRUCE E DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1500 21ST AVE S, 2ND FLOOR SUITE 2200, NASHVILLE, TN 37212-3160
(615) 343-5408
Mailing address
1500 21ST AVE S, 2ND FLOOR SUITE 2200, NASHVILLE, TN 37212-3160
(615) 343-5408
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC00732
TN
103K00000X
Behavior Analyst
Primary
1-02-0765
TN
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PE0000011472
TN
Other
Enumeration date
10/06/2005
Last updated
06/24/2009
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