Individual
EMILY A DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCP, LLP
Contact information
Practice address
89 W SOUTH BLVD STE 200, TROY, MI 48085
(800) 693-1916
(248) 693-1916
Mailing address
1939 KIPLING AVE, BERKLEY, MI 48072-1519
(248) 675-7748
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301015074
MI
103T00000X
Psychologist
Primary
6361005093
MI
Other
Enumeration date
03/11/2013
Last updated
10/03/2022
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