Davis, Amy T

Davis, Amy T is an sole proprietor health care provider with primary practice located at 629 Dawsonville Hwy Suite 2201, Gainesville GA 30501-2610. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Davis, Amy T can be contacted via phone (770) 534-9100.

Contact Information

Primary practice address
629 Dawsonville Hwy Suite 2201 Gainesville GA 30501-2610
Phone: (770) 534-9100
Fax: (770) 534-9104
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1575 Georgia
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 1575 Georgia
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1575 Georgia

Profile Details

NPI number 1962503060
LBN Legal business name Davis, Amy T
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Mar 3rd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962503060 NPPES
Georgia MEDICAID 00484514C

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