Davison, Kenneth Paul
Davison, Kenneth Paul is an sole proprietor health care provider with primary practice located at 1341 Warren Ave , Downers Grove IL 60515-3437. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Davison, Kenneth Paul can be contacted via phone (630) 719-5454.Contact Information
Primary practice address
1341 Warren Ave
Downers Grove IL 60515-3437
Phone: (630) 719-5454
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071-006015 | Illinois |
Profile Details
| NPI number | 1104844240 |
|---|---|
| LBN Legal business name | Davison, Kenneth Paul |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Dec 29th, 2021 - about 3 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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