Dr Michael W Davis, PHD | |
2808 Fox Meadow Lane, Jonesboro, AR 72404-9346 | |
(870) 335-2240 | |
(870) 931-4457 |
Full Name | Dr Michael W Davis |
---|---|
Gender | Male |
Speciality | Psychologist - Clinical |
Location | 2808 Fox Meadow Lane, Jonesboro, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588715486 | NPI | - | NPPES |
5X989 | Other | AR | BLUE CROSS BLUE SHIELD |
227670719 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | 06-07P (Arkansas) | Secondary |
103TC0700X | Psychologist - Clinical | 06-07P (Arkansas) | Primary |
Entity Name | Families, Inc Of Arkansas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770535569 PECOS PAC ID: 9335133669 Enrollment ID: O20040412000211 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael W Davis, PHD 2808 Fox Meadow Lane, Jonesboro, AR 72404-9346 Ph: (870) 335-2240 | Dr Michael W Davis, PHD 2808 Fox Meadow Lane, Jonesboro, AR 72404-9346 Ph: (870) 335-2240 |
Mr. David A Shade, M.S., LPE-I Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1815 Pleasant Grove Rd, Jonesboro, AR 72401 Phone: 870-933-6886 Fax: 870-933-9395 | |
Dr. Marilyn L Porter, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2707 Browns Lane, Jonesboro, AR 72401 Phone: 870-972-4939 Fax: 870-972-4911 | |
Mary Bryant, LPE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1217 Stone St, Jonesboro, AR 72401 Phone: 870-972-1268 | |
M Elizabeth Huffstutter, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1900 Stillwater Dr, Jonesboro, AR 72404 Phone: 870-932-3600 Fax: 870-932-3611 | |
Dr. Meagan Medley, LP, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3420 Western Gales Dr, Jonesboro, AR 72405 Phone: 504-812-6665 | |
Olimpia Rosario, MD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1815 Pleasant Grove Rd., Jonesboro, AR 72404 Phone: 870-933-6886 | |
Margaret B Rector, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2707 Browns Ln, Jonesboro, AR 72401 Phone: 870-972-4939 Fax: 870-972-4911 |