Individual
DR. JACLYN MICHELLE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1515 S CAPITAL OF TEXAS HWY STE 200, AUSTIN, TX 78746-6544
(512) 649-1742
Mailing address
1045 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-5443
(610) 433-3360
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS017996
PA
103TC0700X
Clinical Psychologist
38202
TX
Other
Enumeration date
08/25/2011
Last updated
02/18/2020
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