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:
Health care specialties
Specialty | Code | License # | 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 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134250616 | NPPES |
Arizona | MEDICAID | 331706 | |
Arizona | Other | Z132636 |
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