| Elizabeth Charlotte Davis, PHD | |
|
35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503-2530 | |
| (616) 267-2830 | |
| Not Available |
| Full Name | Elizabeth Charlotte Davis |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 35 Michigan St Ne Ste 5201, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316387442 | NPI | - | NPPES |
| 008033300 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301018581 (Michigan) | Primary |
| 103TC0700X | Psychologist - Clinical | 003330 (Connecticut) | Secondary |
| Entity Name | Hartford Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700 |
| Entity Name | Hartford Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770696643 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000752 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Charlotte Davis, PHD 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () - | Elizabeth Charlotte Davis, PHD 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503-2530 Ph: (616) 267-2830 |
Dynetta Clark, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 805 Leonard St Ne, Grand Rapids, MI 49503 Phone: 616-451-2021 Fax: 616-774-1001 | |
Mrs. Amy E Pugh, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503 Phone: 616-267-2830 Fax: 616-267-9024 | |
Meghan Cytacki-lewis, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 333 Bridge St Nw Ste 1120, Grand Rapids, MI 49504 Phone: 616-805-3660 | |
Michelle Marie Muenzenmeyer, LLP, CHMC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2020 Raybrook St Se Ste 102-1, Grand Rapids, MI 49546 Phone: 616-795-0900 Fax: 616-795-0899 | |
Jehricole Olenzuk, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 829 Forest Hill Ave Se, Grand Rapids, MI 49546 Phone: 616-949-2410 | |
Adrian Hernandez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 360 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49506 Phone: 616-805-3660 | |
Marcia Hollingsworth, EDD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1870 Leonard Ne, Grand Rapids, MI 49505 Phone: 616-956-1122 Fax: 616-956-8033 |