| Stacey Davis, Ph.d. | |
|
11 Nw 33rd Ct Gainesville FL 32607-2552 | |
| (352) 870-8173 | |
| Not Available |
| Full Name | Stacey Davis, Ph.d. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 11 Nw 33rd Ct, Gainesville, Florida |
| Authorized Official Name and Position | Stacey Davis (LICENSED PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 3528708173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Davis, Ph.d. 11 Nw 33rd Ct Gainesville FL 32607-2552 Ph: (352) 870-8173 | Stacey Davis, Ph.d. 11 Nw 33rd Ct Gainesville FL 32607-2552 Ph: (352) 870-8173 |
| NPI Number | 1851787360 |
|---|---|
| Provider Enumeration Date | 04/10/2015 |
| Last Update Date | 04/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851787360 | NPI | - | NPPES |
| PY 7649 | Other | FL | FLORIDA DEPARTMENT OF HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY 7649 (Florida) | Primary |
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