Individual
NEIL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
047-0000636
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06228643
BLUE CROSS SHIELD #
VT
05
—
1005373
—
VT
01
—
2013186
CIGNA ID
VT
01
—
247233
MAGELLAN ID
VT
01
—
959928
MVP ID
VT
Enumeration date
11/12/2006
Last updated
03/06/2013
Update your record
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