NPI | 1336166040 |
---|---|
Former Legal Business Name | JAMES W. & NANCY L. DAVIDSON |
Entity Type | Organization |
Authorized Contact | JAMES WILSON DAVIDSON Director 440-942-0100 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 2071) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2011-10-09 |