Individual
DR. GINA ROSE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
PO BOX 46, PINOLE, CA 94564-0046
(510) 926-6363
Mailing address
PO BOX 46, PINOLE, CA 94564-0046
(510) 926-6363
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
Primary
PSY26505
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245393503
—
CA
Enumeration date
07/28/2009
Last updated
06/11/2026
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