| NPI | 1487760484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID P DAVIS Psychologist/Provider 520-461-7207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY 212) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2021-09-01 |