Edgar Davis is a Health Service in Indianapolis, Indiana. Edgar Davis practices all healthcare services and medical treatments related to Health Service. The NPI Number for Edgar Davis is 1124157995. The last update date is 2007-07-08.
Edgar Davis's current location address is 4401 Central Ave, Indianapolis, Indiana. You can contact this provider via phone number 3179232333 and fax number 3179232367. The mailing address for Edgar Davis is 4401 Central Ave, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edgar Davis |
|---|---|
| Address | 4401 Central Ave, Indianapolis, Indiana |
| Phone Number | 3179232333 |
| Fax Number | 3179232367 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1124157995 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4401 Central Ave |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462051822 |
| Phone Number | 3179232333 |
| Fax Number | 3179232367 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 103Th0100X |
| Licence No | 20041255A |
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Definition: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Edgar Davis by the Centers for Medicare & Medicaid Services?
The Edgar Davis has been assigned the NPI (National Provider Identifier) 1124157995 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Edgar Davis is located?
The Edgar Davis is situated at the following address: 4401 Central Ave, Indianapolis, IN, 462051822.
What is Edgar Davis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Edgar Davis's area of specialization is Health Service, and the corresponding taxonomy code that categorizes this field of practice is 103Th0100X.
On what date did the Edgar Davis receive the assignment of its 1124157995 from the Centers for Medicare & Medicaid Services?
The Edgar Davis was issued its 1124157995 by the Centers for Medicare & Medicaid Services on 2007-03-05.
When was the information regarding Edgar Davis most recently updated?
The details pertaining to the Edgar Davis, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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