Davis, James Thomas

Davis, James Thomas is an individual health care provider with primary practice located at 334 Thomas More Pkwy , Crestview Hills KY 41017-3464. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Davis, James Thomas can be contacted via phone (859) 301-5901.

Contact Information

Primary practice address
334 Thomas More Pkwy Crestview Hills KY 41017-3464
Phone: (859) 301-5901
Fax: (859) 301-5940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 5094 Ohio
Behavioral Health & Social Service Providers / Clinical 103TC0700X 00838 Kentucky
Behavioral Health & Social Service Providers / Psychologist 103T00000X 00838 Kentucky

Profile Details

NPI number 1124028543
LBN Legal business name Davis, James Thomas
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jun 5th, 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 1124028543 NPPES
Kentucky MEDICAID 89000541

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