Glen E Davis is a Psychologist in Falmouth, Maine. Glen E Davis practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Glen E Davis is 1194767137. The last update date is 2022-02-17.
Glen E Davis's current location address is 14 Stonewall Way, Falmouth, Maine. You can contact this provider via phone number 2072212631 and fax number 8666116717. The mailing address for Glen E Davis is 14 Stonewall Way, Falmouth, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glen E Davis |
|---|---|
| Address | 14 Stonewall Way, Falmouth, Maine |
| Phone Number | 2072212631 |
| Fax Number | 8666116717 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1194767137 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2022-02-17 |
Provider Mailing Address Detail
| Address | 14 Stonewall Way |
|---|---|
| City | Falmouth |
| State | Maine (ME) |
| Post Code | 41052491 |
| Phone Number | 2072212631 |
| Fax Number | 8666116717 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PS593 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 154420000 | ME | -- |
Post Comment/ Review Below
What is the Glen E Davis's 1194767137?
The Glen E Davis's NPI (National Provider Identifier) Number is 1194767137. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Glen E Davis is physically located?
The Glen E Davis is physically situated at the following address: 14 Stonewall Way, Falmouth, ME, 41052491.
What is the Glen E Davis's specialty and taxonomy code?
The Glen E Davis's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1194767137 to Glen E Davis?
The Glen E Davis received its 1194767137 assignment from the Centers for Medicare & Medicaid Services on 2006-06-12.
As of what date were the Glen E Davis's details last updated?
The information pertaining to the Glen E Davis, including its address, specialty, and other details, was most recently updated on 2022-02-17.