Individual
JEFFREY JAY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
24511 W JAYNE AVE, COALINGA, CA 93210-9503
(559) 396-6325
Mailing address
PO BOX 5000, COALINGA, CA 93210-5000
(559) 396-6325
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
PSY19044
CA
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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