Davis, Debra L

Davis, Debra L is an sole proprietor health care provider with primary practice located at 1970 Rawhide Dr Suite 204, Round Rock TX 78681-6957. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Davis, Debra L can be contacted via phone (512) 244-7271.

Contact Information

Primary practice address
1970 Rawhide Dr Suite 204 Round Rock TX 78681-6957
Phone: (512) 244-7271
Fax: (512) 238-6348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 29340 Texas

Profile Details

NPI number 1255372843
LBN Legal business name Davis, Debra L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated Jul 8th, 2007 - about 17 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 1255372843 NPPES
Texas Other 0072LJ BCBS PROVIDER NO.

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