| Christian Davis, Phd, Llc | |
|
174 Grand Ave 1st Floor #2 Englewood NJ 07631 | |
| (201) 523-5499 | |
| Not Available |
| Full Name | Christian Davis, Phd, Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 174 Grand Ave, Englewood, New Jersey |
| Authorized Official Name and Position | Christian Davis (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 2015235499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Davis, Phd, Llc 174 Grand Ave 1st Floor #2 Englewood NJ 07631 Ph: (201) 523-5499 | Christian Davis, Phd, Llc 174 Grand Ave 1st Floor #2 Englewood NJ 07631 Ph: (201) 523-5499 |
| NPI Number | 1104385327 |
|---|---|
| Provider Enumeration Date | 03/18/2019 |
| Last Update Date | 03/07/2023 |
| Certification Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104385327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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