Individual
DR. CAROL ANN LUCY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D, DRPH
Contact information
Practice address
22130 LADERA ST, GRAND TERRACE, CA 92313-6016
(909) 838-5590
Mailing address
22130 LADERA ST, GRAND TERRACE, CA 92313-6016
(909) 838-5590
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
28828
CA
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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