Individual
AMY T DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
629 DAWSONVILLE HWY, SUITE 2201, GAINESVILLE, GA 30501-2610
(770) 534-9100
(770) 534-9104
Mailing address
629 DAWSONVILLE HWY, SUITE 2201, GAINESVILLE, GA 30501-2610
(770) 534-9100
(770) 534-9104
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1575
GA
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
1575
GA
103TC0700X
Clinical Psychologist
1575
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00484514C
—
GA
Enumeration date
09/25/2006
Last updated
03/03/2014
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