| Tania Davidson Psyd A Psychological Corporation | |
|
200 Tamal Plz Ste 130 Corte Madera CA 94925-1195 | |
| (415) 347-3438 | |
| (805) 339-0806 |
| Full Name | Tania Davidson Psyd A Psychological Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 200 Tamal Plz Ste 130, Corte Madera, California |
| Authorized Official Name and Position | Tania Davidson (PSYCHOLOGIST) |
| Authorized Official Contact | 4153473438 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tania Davidson Psyd A Psychological Corporation 1198 Navigator Dr # 103 Ventura CA 93001-4334 Ph: (805) 320-5256 | Tania Davidson Psyd A Psychological Corporation 200 Tamal Plz Ste 130 Corte Madera CA 94925-1195 Ph: (415) 347-3438 |
| NPI Number | 1801027495 |
|---|---|
| Provider Enumeration Date | 07/31/2009 |
| Last Update Date | 06/26/2019 |
| Medicare PECOS PAC ID | 4486707411 |
|---|---|
| Medicare Enrollment ID | O20090807000625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801027495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY16510 (California) | Primary |
| Provider Name | Tania A Davidson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952476947 PECOS PAC ID: 7517054414 Enrollment ID: I20071024000348 |
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