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Dr. Stephen P. Davis, Ph.D.

Psychologist, Clinical in Port St Lucie, FL. Individual provider (NPI-1).

NPI number1134147283
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1134147283
Entity type
Individual (NPI-1)
Name
Dr. Stephen P. Davis
Credential
Ph.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 17, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, ClinicalPY 5785FLYes

Practice location

2400 Se Midport Rd
Suite 211
Port St Lucie, FL 34952-4823

Phone 772-398-1003 · Fax 772-398-1772

Mailing address

2400 Se Midport Rd
Suite 211
Port St Lucie, FL 34952-4823

Phone 772-398-1003 · Fax 772-398-1772

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