| Robert C Davison Phd Psychology Inc. | |
|
1439 E Chapman Ave Orange CA 92866-2228 | |
| (714) 288-0525 | |
| (714) 289-9008 |
| Full Name | Robert C Davison Phd Psychology Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1439 E Chapman Ave, Orange, California |
| Authorized Official Name and Position | Robert C Davison (CEO) |
| Authorized Official Contact | 7142880525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert C Davison Phd Psychology Inc. 1439 E Chapman Ave Orange CA 92866-2228 Ph: (714) 288-0525 | Robert C Davison Phd Psychology Inc. 1439 E Chapman Ave Orange CA 92866-2228 Ph: (714) 288-0525 |
| NPI Number | 1356611313 |
|---|---|
| Provider Enumeration Date | 01/09/2012 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 7315105566 |
|---|---|
| Medicare Enrollment ID | O20120220001011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356611313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY9478 (California) | Primary |
| Provider Name | Sheree B Riley Violon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063606911 PECOS PAC ID: 9032393533 Enrollment ID: I20110407000392 |
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