Organization
BRAIN ANALYSIS AND NEURODEVELOPMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT W. DAVIS PSY.D. (DIRECTOR)
(413) 835-0520
Entity
Organization
Contact information
Practice address
20 GATEHOUSE RD, LOWER LEVEL, AMHERST, MA 01002-2879
(413) 835-0520
(413) 835-0569
Mailing address
20 GATEHOUSE RD, LOWER LEVEL, AMHERST, MA 01002-2879
(413) 835-0520
(413) 835-0569
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7324
MA
103TC2200X
Clinical Child & Adolescent Psychologist
8195
MA
103TH0004X
Health Psychologist
7324
MA
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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