| NPI | 1306154885 |
|---|---|
| Professional Name | CHARLIE ANDREW DAVIDSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY004112) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2010-09-19 |
| Last Update Date | 2018-06-16 |