Davis, Diana L

Davis, Diana L is an individual health care provider with primary practice located at 1322 Washington St Unit 17 , Port Townsend WA 98368-6862. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Davis, Diana L can be contacted via phone (360) 344-8429.

Contact Information

Primary practice address
1322 Washington St Unit 17 Port Townsend WA 98368-6862
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY60888941 Washington

Profile Details

NPI number 1740427558
LBN Legal business name Davis, Diana L
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2009
Last updated Jan 10th, 2019 - about 6 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 1740427558 NPPES
Texas MEDICAID 140800702

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