Davis, Robert W

Davis, Robert W is an individual health care provider with primary practice located at 3340 Severn Ave Suite 206, Metairie LA 70002-7407. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Davis, Robert W can be contacted via phone (504) 889-1448.

Contact Information

Primary practice address
3340 Severn Ave Suite 206 Metairie LA 70002-7407
Phone: (504) 889-1448
Fax: (504) 885-8752
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 805 Louisiana

Profile Details

NPI number 1114937638
LBN Legal business name Davis, Robert W
Credentials PSY. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Aug 7th, 2013 - 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 1114937638 NPPES
Louisiana MEDICAID 1544051

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