| Kristen Davidson, Psy.d., Pllc | |
|
2497 Waving Moss Way Winter Park FL 32792-3041 | |
| (407) 793-1282 | |
| (833) 895-1282 |
| Full Name | Kristen Davidson, Psy.d., Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 2497 Waving Moss Way, Winter Park, Florida |
| Authorized Official Name and Position | Kristen Michelle Davidson (CLINICAL NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 4077931282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Davidson, Psy.d., Pllc 13606 Cassiopeia Dr Orlando FL 32828-9310 Ph: (405) 315-3070 | Kristen Davidson, Psy.d., Pllc 2497 Waving Moss Way Winter Park FL 32792-3041 Ph: (407) 793-1282 |
| NPI Number | 1316790942 |
|---|---|
| Provider Enumeration Date | 04/11/2024 |
| Last Update Date | 04/11/2024 |
| Certification Date | 04/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316790942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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