Shandra Anicia Davis, Psy.D.
Psychologist in Pinellas Park, FL. Individual provider (NPI-1).
NPI number1205190592
StatusActive
Last updated in NPPESNov 30, 2022
Details
- NPI
- 1205190592
- Entity type
- Individual (NPI-1)
- Name
- Shandra Anicia Davis
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 2, 2012
- Certification date
- Nov 30, 2022
- Last updated
- Nov 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
10707 66th St N Ste 7Pinellas Park, FL 33782-2336
Phone 813-586-1529 · Fax 727-300-0221
Mailing address
10707 66th St N Ste 7Pinellas Park, FL 33782-2336
Phone 813-586-1529 · Fax 727-300-0221
Other practice locations
2111 W Swann Ave Ste 204
Tampa, FL 33606-2478
Tampa, FL 33606-2478
Phone 813-602-2312 · Fax 813-302-1173
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