Individual
TYLER DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8607 N 59TH AVE, #C-6, GLENDALE, AZ 85302-5433
(602) 753-8040
Mailing address
8607 N 59TH AVE, #C-6, GLENDALE, AZ 85302-5433
(602) 753-8040
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4485
AZ
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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