Davis, Judith
Davis, Judith is an sole proprietor health care provider with primary practice located at 716 Roby Rd , Stoughton WI 53589. 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, Judith can be contacted via phone (608) 206-5377.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 2212057 | Wisconsin |
Profile Details
| NPI number | 1720278005 |
|---|---|
| LBN Legal business name | Davis, Judith |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2007 |
| Last updated | Aug 22nd, 2018 - about 7 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 | 1720278005 | NPPES |
| Wisconsin | MEDICAID | 39128800 |
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