Harry Robert Davidson in Independence - Clinical

Harry Robert Davidson - NPI 1861524530

Harry Robert Davidson is a Clinical in Independence, Missouri. Harry Robert Davidson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Harry Robert Davidson is 1861524530. The last update date is 2007-07-08.

Harry Robert Davidson's current location address is 3445 S State Route 291 # M, Independence, Missouri. You can contact this provider via phone number 8167955385 and fax number 8167958365. The mailing address for Harry Robert Davidson is 3445 S State Route 291 # M, Independence, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Harry Robert Davidson
Address 3445 S State Route 291 # M, Independence, Missouri
Phone Number 8167955385
Fax Number 8167958365
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1861524530
Provider Enumeration Date 2007-03-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3445 S State Route 291 # M
City Independence
State Missouri (MO)
Post Code 640572663
Phone Number 8167955385
Fax Number 8167958365

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 237
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5624033 MO BLUE CROSS BLUE SHEILD
49330617 MO --

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FAQs about Harry Robert Davidson

What is the unique provider identifier assigned to Harry Robert Davidson?

The Harry Robert Davidson has been issued the NPI (National Provider Identifier) 1861524530 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Harry Robert Davidson's facilities are situated?

The facilities of Harry Robert Davidson are physically located at the following address: 3445 S State Route 291 # M, Independence, MO, 640572663.

What is the Harry Robert Davidson's specialty and taxonomy code?

The Harry Robert Davidson's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.

On what date did Harry Robert Davidson receive its 1861524530 assignment from the Centers for Medicare & Medicaid Services?

The Harry Robert Davidson was assigned its 1861524530 on 2007-03-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Harry Robert Davidson's information last updated?

The Harry Robert Davidson's information was last updated on 2007-07-08.

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