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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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