| Michael Davis Psyd Llc | |
|
316 Warren Ave Front Royal VA 22630-4483 | |
| (571) 358-9245 | |
| Not Available |
| Full Name | Michael Davis Psyd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 316 Warren Ave, Front Royal, Virginia |
| Authorized Official Name and Position | Michael E Davis (PSYD/OWNER) |
| Authorized Official Contact | 5713589245 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Davis Psyd Llc 221 Clymer Ave Front Royal VA 22630-3917 Ph: (571) 358-9245 | Michael Davis Psyd Llc 316 Warren Ave Front Royal VA 22630-4483 Ph: (571) 358-9245 |
| NPI Number | 1063273449 |
|---|---|
| Provider Enumeration Date | 01/22/2024 |
| Last Update Date | 01/22/2024 |
| Certification Date | 01/22/2024 |
| Medicare PECOS PAC ID | 8729424262 |
|---|---|
| Medicare Enrollment ID | O20240307000447 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063273449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Michael Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881202596 PECOS PAC ID: 9739555293 Enrollment ID: I20240307000537 |
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