Connie Marie Davis in Mt Gretna - Clinical
Connie Marie Davis - NPI 1821054370
Connie Marie Davis is a Clinical in Mt Gretna, Pennsylvania. Connie Marie Davis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Connie Marie Davis is 1821054370. The last update date is 2007-07-08.
Connie Marie Davis's current location address is Box 122 105 Lakeview Road, Mt Gretna, Pennsylvania. You can contact this provider via phone number 7179643850 and fax number 7179643850. The mailing address for Connie Marie Davis is Box 122 105 Lakeview Road, Mt Gretna, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Connie Marie Davis |
|---|---|
| Address | Box 122 105 Lakeview Road, Mt Gretna, Pennsylvania |
| Phone Number | 7179643850 |
| Fax Number | 7179643850 |
| Sole Proprietor | X |
| Credentials | MS PSYCHOL |
NPI Number Detail
| NPI Number | 1821054370 |
|---|---|
| Provider Enumeration Date | 2006-04-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Box 122 105 Lakeview Road |
|---|---|
| City | Mt Gretna |
| State | Pennsylvania (PA) |
| Post Code | 17064 |
| Phone Number | 7179643850 |
| Fax Number | 7179643850 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS005757L |
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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 10-digit identification code issued to Connie Marie Davis by the Centers for Medicare & Medicaid Services?
The Connie Marie Davis has been assigned the NPI (National Provider Identifier) 1821054370 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Connie Marie Davis located?
The Connie Marie Davis is located at Box 122 105 Lakeview Road, Mt Gretna, PA 17064.
What is the Connie Marie Davis's area of specialization and corresponding taxonomy classification?
The Connie Marie Davis's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Connie Marie Davis receive its 1821054370 assignment from the Centers for Medicare & Medicaid Services?
The Connie Marie Davis was assigned its 1821054370 by the Centers for Medicare & Medicaid Services on 2006-04-25.
As of what date were the details pertaining to Connie Marie Davis last refreshed?
The information related to the Connie Marie Davis, including its address, specialty, and other relevant details, was last updated on 2007-07-08.