Organization
DAVID P DAVIS, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID P DAVIS PHD (PSYCHOLOGIST/PROVIDER)
(520) 461-7207
Entity
Organization
Contact information
Practice address
7195 W FALCON VIEW PASS, MARANA, AZ 85658-4986
(808) 756-1863
(520) 352-9602
Mailing address
7195 W FALCON VIEW PASS, MARANA, AZ 85658-4986
(808) 756-1863
(520) 352-9602
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 212
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619082039
INDIVIDUAL NPI
HI
01
—
1619082039
INDIVIDUAL NPI
—
Enumeration date
08/22/2006
Last updated
09/01/2021
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