| Davispsychological & Consulting Services Inc. | |
|
3454 Oak Alley Ct Suite 201 Toledo OH 43606-1306 | |
| (419) 535-6152 | |
| (419) 535-7917 |
| Full Name | Davispsychological & Consulting Services Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 3454 Oak Alley Ct, Toledo, Ohio |
| Authorized Official Name and Position | Kenneth L Davis (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 4195356152 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Davispsychological & Consulting Services Inc. 3454 Oak Alley Ct Suite 201 Toledo OH 43606-1307 Ph: (419) 535-6152 | Davispsychological & Consulting Services Inc. 3454 Oak Alley Ct Suite 201 Toledo OH 43606-1306 Ph: (419) 535-6152 |
| NPI Number | 1225444896 |
|---|---|
| Provider Enumeration Date | 07/03/2014 |
| Last Update Date | 07/03/2014 |
| Medicare PECOS PAC ID | 7911126693 |
|---|---|
| Medicare Enrollment ID | O20140910002737 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225444896 | NPI | - | NPPES |
| 2343306 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 5048 (Ohio) | Primary |
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