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Individual

MICHELLE DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1401 LAVACA ST # 1259, AUSTIN, TX 78701-1634
(831) 288-3460
Mailing address
1401 LAVACA ST # 1259, AUSTIN, TX 78701-1634
(831) 288-3460

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
32514
CA
103TC0700X
Clinical Psychologist
Primary
39857
TX

Other

Enumeration date
04/09/2021
Last updated
06/24/2023
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