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Individual

GERALENE DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
5110 12TH AVE, BROOKLYN, NY 11219-3424
(800) 275-3243
(800) 275-3671
Mailing address
PO BOX 1517 MURRAY HILL STATION, NEW YORK, NY 10156-1517
(718) 337-1796
(718) 337-1796

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
006924-1
NY

Other

Enumeration date
10/12/2006
Last updated
07/09/2007
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