Organization
DEBRA L. DAVIS, PHD LIMITED LIABILITY COMPANY
Active
Organization
DEBRA L. DAVIS, PHD LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA LYNND DAVIS PH.D (OWNER)
(201) 207-6294
Entity
Organization
Contact information
Practice address
179 CEDAR LN, F, TEANECK, NJ 07666-4304
(201) 207-6294
(201) 690-6376
Mailing address
10 FOREST AVE, MONTVALE, NJ 07645-2205
(201) 207-6294
(201) 690-6376
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
35SI00541200
NJ
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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