David P Davis, Ph.D., LLC
Psychologist, Clinical in Marana, AZ. Organization (NPI-2).
NPI number1487760484
StatusActive
Last updated in NPPESSep 1, 2021
Details
- NPI
- 1487760484
- Entity type
- Organization (NPI-2)
- Legal business name
- David P Davis, Ph.D., LLC
- Organization subpart
- No
- Enumeration date
- Aug 22, 2006
- Certification date
- Sep 1, 2021
- Last updated
- Sep 1, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY 212 | HI | Yes |
Practice location
7195 W Falcon View PassMarana, AZ 85658-4986
Phone 808-756-1863 · Fax 520-352-9602
Mailing address
7195 W Falcon View PassMarana, AZ 85658-4986
Phone 808-756-1863 · Fax 520-352-9602
Authorized official
David P Davis
Psychologist/Provider
5204617207
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