Davis, Kim Suzanne

Davis, Kim Suzanne is an sole proprietor health care provider with primary practice located at 3724 Jefferson St Ste 207 , Austin TX 78731-6221. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Davis, Kim Suzanne can be contacted via phone (512) 497-2706.

Contact Information

Primary practice address
3724 Jefferson St Ste 207 Austin TX 78731-6221
Phone: (512) 497-2706
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 33941 Texas

Profile Details

NPI number 1366697203
LBN Legal business name Davis, Kim Suzanne
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2008
Last updated Nov 19th, 2008 - about 18 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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