Individual
DIANA L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1322 WASHINGTON ST UNIT 17, PORT TOWNSEND, WA 98368-6862
(360) 344-8429
Mailing address
1322 WASHINGTON ST UNIT 17, PORT TOWNSEND, WA 98368-6862
(360) 344-8429
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY60888941
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140800702
—
TX
Enumeration date
01/15/2009
Last updated
01/10/2019
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