Individual
STEPHANIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
160 CLAIREMONT AVE, DECATUR, GA 30030-2500
(919) 436-3751
Mailing address
11555 MEDLOCK BRIDGE RD STE 100, JOHNS CREEK, GA 30097-3200
(919) 436-3751
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY004132
GA
Other
Enumeration date
02/13/2023
Last updated
05/12/2023
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