Individual
DR. DEBRA L DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
179 CEDAR LANE, SUITE C, TEANECK, NJ 07666-4304
(201) 505-8972
(201) 596-3630
Mailing address
179 CEDAR LN, TEANECK, NJ 07666-4304
(201) 207-6294
(201) 907-0031
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00541200
NJ
Other
Enumeration date
06/04/2015
Last updated
03/08/2021
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