Individual
MICHAEL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
316 WARREN AVE, FRONT ROYAL, VA 22630-4483
(571) 358-9245
Mailing address
871 FREEDOM AVE, JOHNSTOWN, PA 15904-2137
(856) 261-3738
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810007861
VA
Other
Enumeration date
07/20/2020
Last updated
01/24/2024
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