Individual
COLLIN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1221 W LAKE ST STE 201, MINNEAPOLIS, MN 55408-3565
(303) 399-8020
Mailing address
4419 WENTWORTH AVE, MINNEAPOLIS, MN 55419-4941
(405) 612-3428
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
Primary
LP5748
MN
Other
Enumeration date
04/01/2012
Last updated
07/04/2019
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