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Individual

DR. JENNIFER DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PS02064
RI
103T00000X
Psychologist
4415
CO
103TC0700X
Clinical Psychologist
Primary
4415
CO
103TF0000X
Family Psychologist
4415
OH
103TM1800X
Intellectual & Developmental Disabilities Psychologist
4415
CO
103TP2701X
Group Psychotherapy Psychologist
4415
CO

Other

Enumeration date
04/24/2017
Last updated
08/13/2026
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