Davis, James E

Davis, James E is an individual health care provider with primary practice located at 1854 Memorial Drive , Clarksville TN 37043. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Davis, James E can be contacted via phone (931) 648-4811.

Contact Information

Primary practice address
1854 Memorial Drive Clarksville TN 37043
Phone: (931) 648-4811
Fax: (931) 645-4177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X P0000001939 Tennessee

Profile Details

NPI number 1982793295
LBN Legal business name Davis, James E
Credentials EDD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 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 1982793295 NPPES
Tennessee MEDICAID 3687732

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