| NPI | 1225225451 |
|---|---|
| Doing Business As | DAVISSON BEHAVIORAL AND SOCIAL SER |
| Entity Type | Organization |
| Authorized Contact | TOM DAVISSON Front Office Manager 972-480-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 20431) |
| Additional Taxonomies | 103TE1100X Psychologist, Exercise & Sports (Licence: TX 20431) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2008-06-23 |