Doctor Name: | JEFFREY WILLIAM DAVIS |
NPI Number: | 1144413204 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 4835-C |
Business Practice Address: | 35 N West St Fernley, NV - 894087671 |
Business Phone Number: | 7755754141 |
Business Fax Number: | |
Mailing Address: | 35 N West St, FERNLEY |
State: | NV |
Postal Code: | 894087671 |
Phone Number: | 7755754141 |
Fax Number: | |
NPI Enumeration Date: | 08/22/2007 |
NPI Last Update Date: | 08/22/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 4835-C |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |