Organization
TERASA L. DAVIS, PSY.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERASA L DAVIS PSY.D. (CLINICAL PSYCHOLOGIST)
(205) 391-9777
Entity
Organization
Contact information
Practice address
5690 WATERMELON RD, SUITE 310, NORTHPORT, AL 35473-5004
(205) 391-9777
(205) 391-9766
Mailing address
5690 WATERMELON RD, SUITE 310, NORTHPORT, AL 35473-5004
(205) 391-9777
(205) 391-9766
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
906
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-23502
BCBS
AL
05
—
890010770
—
AL
Enumeration date
09/27/2015
Last updated
09/27/2015
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