Individual
STACY TEMPLETON DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, MP
Contact information
Practice address
2020 W PINHOOK RD STE 504, LAFAYETTE, LA 70508-3212
(337) 593-0830
Mailing address
2020 W PINHOOK RD STE 504, LAFAYETTE, LA 70508-3212
(630) 747-3898
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1073
LA
103TC2200X
Clinical Child & Adolescent Psychologist
1073
LA
103TP0016X
Prescribing (Medical) Psychologist
Primary
339669
LA
Other
Enumeration date
10/31/2008
Last updated
08/02/2024
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