Individual
MS. CONNIE MARIE DAVIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS PSYCHOLOGIST
Contact information
Practice address
105 LAKEVIEW ROAD, MT GRETNA, PA 17064
(717) 964-3850
(717) 964-3850
Mailing address
BOX 122 105 LAKEVIEW ROAD, MT GRETNA, PA 17064
(717) 964-3850
(717) 964-3850
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS005757L
PA
Other
Enumeration date
04/25/2006
Last updated
07/08/2007
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