Individual
DR. MICHAEL W DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
154 TIMBER CREEK DR STE 4, CORDOVA, TN 38018-4252
(901) 268-6963
Mailing address
PO BOX 381377, GERMANTOWN, TN 38183-1377
(901) 268-6963
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P0000002093
TN
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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