Davis, Brett Andrew

Davis, Brett Andrew is an individual health care provider with primary practice located at 304 E Pennsylvania Ave , Towson MD 21286-5313. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Davis, Brett Andrew can be contacted via phone (443) 491-8812.

Contact Information

Primary practice address
304 E Pennsylvania Ave Towson MD 21286-5313
Phone: (443) 491-8812
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 04329 Maryland

Profile Details

NPI number 1356534903
LBN Legal business name Davis, Brett Andrew
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2007
Last updated Jun 12th, 2015 - about 9 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 1356534903 NPPES
Maryland MEDICAID 132190100

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