Individual
MARK N DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LEP NCSP ABSNP
Contact information
Practice address
1479 OAK RIDGE DR, CHICO, CA 95928-8856
(530) 570-6822
Mailing address
PO BOX 1538, CHICO, CA 95927-1538
(530) 570-6822
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3468
CA
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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