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:
Health care specialties
Specialty | Code | License # | 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 17 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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