| Davis Psychological Services, Pc | |
|
821 5th Ave Suite 201 Grinnell IA 50112-1653 | |
| (641) 260-0408 | |
| Not Available |
| Full Name | Davis Psychological Services, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 821 5th Ave, Grinnell, Iowa |
| Authorized Official Name and Position | Brandon L Davis (OWNER) |
| Authorized Official Contact | 6412600408 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Davis Psychological Services, Pc 809 5th Ave Grinnell IA 50112-1653 Ph: (641) 260-0408 | Davis Psychological Services, Pc 821 5th Ave Suite 201 Grinnell IA 50112-1653 Ph: (641) 260-0408 |
| NPI Number | 1548563901 |
|---|---|
| Provider Enumeration Date | 12/07/2010 |
| Last Update Date | 06/22/2018 |
| Medicare PECOS PAC ID | 0749469898 |
|---|---|
| Medicare Enrollment ID | O20110121000696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548563901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 00997 (Iowa) | Primary |
| Provider Name | Brandon L Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689771412 PECOS PAC ID: 9537180286 Enrollment ID: I20051209000570 |
| Provider Name | Ryan Hargraves |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306983556 PECOS PAC ID: 9234500745 Enrollment ID: I20240109003332 |
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