Individual
AUSTIN MATTHEW DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PPS
Contact information
Practice address
1401 HIGHLAND AVE, DUARTE, CA 91010-2523
(657) 321-4000
Mailing address
1128 CARMELITA CIR, MONROVIA, CA 91016-3710
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
250139647
CA
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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