Individual
MS. MICHELE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
59 SUNSET DR, BRIARCLIFF MANOR, NY 10510-1559
(917) 922-5952
Mailing address
41 1ST AVE, OSSINING, NY 10562-2621
(917) 922-5952
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
011907
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080291
HEALTHNET
NY
Enumeration date
01/08/2007
Last updated
09/18/2009
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