Individual
DR. KYLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1775 W STATE ST, # 343, BOISE, ID 83702-3924
(208) 576-6279
Mailing address
1775 W STATE ST # 343, BOISE, ID 83702-3924
(208) 576-6279
(208) 600-6916
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-202809
ID
Other
Enumeration date
04/27/2015
Last updated
12/30/2021
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