Edwina Annette Davies
Psychologist, Counseling in Indian Trail, NC. Individual provider (NPI-1).
NPI number1023328481
StatusActive
Last updated in NPPESJan 5, 2011
Details
- NPI
- 1023328481
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Edwina Annette Davies
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 19, 2010
- Last updated
- Jan 5, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | 101073854 | CA | Yes |
| 174400000X | Specialist | 00026 | NC | |
| 174400000X | Specialist | 0005 | NC |
Practice location
1000 Loudoun RdIndian Trail, NC 28079-8478
Phone 310-762-2372
Mailing address
1000 Loudoun RdIndian Trail, NC 28079-8478
Phone 310-762-2372
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