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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