Organization
E. CLIFTON DAVIS, ED.D., & ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD CLIFTON DAVIS ED.D. (CLINICAL PSYCHOLOGIST)
(214) 438-3668
Entity
Organization
Contact information
Practice address
17304 PRESTON RD, SUITE 800, DALLAS, TX 75252-5618
(214) 438-3668
(972) 733-6812
Mailing address
17304 PRESTON RD, SUITE 800, DALLAS, TX 75252-5618
(214) 438-3668
(972) 733-6812
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2-2012
TX
103TC0700X
Clinical Psychologist
Primary
2-2012
TX
103TC2200X
Clinical Child & Adolescent Psychologist
2-2012
TX
106H00000X
Marriage & Family Therapist
2-2012
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2-2012
TEXAS PSYCHOLOGY LICENSE
TX
Enumeration date
10/06/2005
Last updated
08/06/2008
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