Davis, Trina M

Davis, Trina M is an sole proprietor health care provider with primary practice located at 2219 N Kenmore Ave Suite 300, Chicago IL 60614-3504. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Davis, Trina M can be contacted via phone (773) 325-7780.

Contact Information

Primary practice address
2219 N Kenmore Ave Suite 300 Chicago IL 60614-3504
Phone: (773) 325-7780
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X Illinois

Profile Details

NPI number 1750504239
LBN Legal business name Davis, Trina M
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2007
Last updated Jul 8th, 2007 - about 19 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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