Davis-Johnson, Debra Edith

Davis-Johnson, Debra Edith is an sole proprietor health care provider with primary practice located at 6206 W Wikieup Ln , Glendale AZ 85308-5207. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Davis-Johnson, Debra Edith can be contacted via phone (602) 290-4824.

Contact Information

Primary practice address
6206 W Wikieup Ln Glendale AZ 85308-5207
Phone: (602) 290-4824
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X Arizona
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3941 Arizona

Profile Details

NPI number 1134250616
LBN Legal business name Davis-Johnson, Debra Edith
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Sep 26th, 2012 - about 12 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 1134250616 NPPES
Arizona MEDICAID 331706
Arizona Other Z132636

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