| NPI | 1558924100 |
|---|---|
| Former Legal Business Name | KIM DAVIS, PHD |
| Entity Type | Organization |
| Authorized Contact | KIM DAVIS Psychologist Owner 512-497-2706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-04-18 |