| Irma D Davis Lmft | |
|
1400 South Pugh Drive Suite #3 Terre Haute IN 47802 | |
| (812) 249-3620 | |
| Not Available |
| Full Name | Irma D Davis Lmft |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1400 South Pugh Drive, Terre Haute, Indiana |
| Authorized Official Name and Position | Irma D Davis (OWNER) |
| Authorized Official Contact | 8122493620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irma D Davis Lmft 1400 South Pugh Drive Suite #3 Terre Haute IN 47802 Ph: (812) 249-3620 | Irma D Davis Lmft 1400 South Pugh Drive Suite #3 Terre Haute IN 47802 Ph: (812) 249-3620 |
| NPI Number | 1366005027 |
|---|---|
| Provider Enumeration Date | 04/18/2019 |
| Last Update Date | 04/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366005027 | NPI | - | NPPES |
| 35001703A | Other | IN | PROFESSIONAL LICENSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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