Stephen P. Davis in Port St Lucie - Clinical
Stephen P. Davis - NPI 1134147283
Stephen P. Davis is a Clinical in Port St Lucie, Florida. Stephen P. Davis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stephen P. Davis is 1134147283. The last update date is 2007-07-08.
Stephen P. Davis's current location address is 2400 Se Midport Rd, Port St Lucie, Florida. You can contact this provider via phone number 7723981003 and fax number 7723981772. The mailing address for Stephen P. Davis is 2400 Se Midport Rd, Port St Lucie, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen P. Davis |
|---|---|
| Address | 2400 Se Midport Rd, Port St Lucie, Florida |
| Phone Number | 7723981003 |
| Fax Number | 7723981772 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1134147283 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2400 Se Midport Rd |
|---|---|
| City | Port St Lucie |
| State | Florida (FL) |
| Post Code | 349524823 |
| Phone Number | 7723981003 |
| Fax Number | 7723981772 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY 5785 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 125175 | FL | VALUE OPTIONS | |
| 5170247 | FL | AETNA | |
| 82322 | FL | CIGNA | |
| 54434 | FL | BC/BS | |
| IP029180 | FL | MAGELLAN PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Stephen P. Davis by the Centers for Medicare & Medicaid Services?
The Stephen P. Davis has been assigned the NPI (National Provider Identifier) 1134147283. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Stephen P. Davis is physically located?
The Stephen P. Davis is physically situated at the following address: 2400 Se Midport Rd, Port St Lucie, FL, 349524823.
What is Stephen P. Davis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Stephen P. Davis is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did Stephen P. Davis receive its 1134147283 assignment from the Centers for Medicare & Medicaid Services?
The Stephen P. Davis was assigned its 1134147283 on 2006-07-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Stephen P. Davis most recently updated?
The details pertaining to the Stephen P. Davis, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL