| Doctor Name: | DR. NANCY E DAVIE |
| NPI Number: | 1043384118 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD. LMCH |
| License Number: | MH0003067 |
| Business Practice Address: | 117 S 5th St Macclenny, FL - 320632303 |
| Business Phone Number: | 9042591758 |
| Business Fax Number: | 9042599553 |
| Mailing Address: | 117 S 5th St, MACCLENNY |
| State: | FL |
| Postal Code: | 320632303 |
| Phone Number: | 9042591758 |
| Fax Number: | 9042599553 |
| NPI Enumeration Date: | 11/20/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH0003067 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |