Kenneth Paul Davison in Downers Grove - Clinical
Kenneth Paul Davison - NPI 1104844240
Kenneth Paul Davison is a Clinical in Downers Grove, Illinois. Kenneth Paul Davison practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenneth Paul Davison is 1104844240. The last update date is 2021-12-29.
Kenneth Paul Davison's current location address is 1341 Warren Ave, Downers Grove, Illinois. You can contact this provider via phone number 6307195454. The mailing address for Kenneth Paul Davison is 1341 Warren Ave, Downers Grove, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Paul Davison |
|---|---|
| Address | 1341 Warren Ave, Downers Grove, Illinois |
| Phone Number | 6307195454 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1104844240 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2021-12-29 |
Provider Mailing Address Detail
| Address | 1341 Warren Ave |
|---|---|
| City | Downers Grove |
| State | Illinois (IL) |
| Post Code | 605153437 |
| Phone Number | 6307195454 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 071-006015 |
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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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What is the unique identification code assigned to Kenneth Paul Davison by the Centers for Medicare & Medicaid Services?
The Kenneth Paul Davison has been issued the NPI (National Provider Identifier) 1104844240. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kenneth Paul Davison?
The Kenneth Paul Davison is physically situated at 1341 Warren Ave, in the city of Downers Grove, state of IL, with the postal code 605153437.
What is Kenneth Paul Davison's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kenneth Paul Davison is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did Kenneth Paul Davison receive its 1104844240 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth Paul Davison was assigned its 1104844240 on 2006-07-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Kenneth Paul Davison, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kenneth Paul Davison, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-12-29.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH