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Individual

AMY DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
800 BIESTERFIELD RD, EBERLE BLDG, SUITE 610, ELK GROVE VILLAGE, IL 60007-3311
(847) 982-3630
(847) 981-3633
Mailing address
800 BIESTERFIELD RD STE 610, ELK GROVE VILLAGE, IL 60007-3362
(847) 981-3630

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071-006471
IL
103T00000X
Psychologist

Other

Enumeration date
07/07/2006
Last updated
04/12/2021
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