Doctor Name: | ROSS WHITNEY DAVIDSON |
NPI Number: | 1194917401 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCMHC |
License Number: | 985 |
Business Practice Address: | 20 Grove St Ste. 200 Peterborough, NH - 034581470 |
Business Phone Number: | 6038316392 |
Business Fax Number: | 6039244215 |
Mailing Address: | 20 Grove St, Ste. 200 PETERBOROUGH |
State: | NH |
Postal Code: | 034581470 |
Phone Number: | 6038316392 |
Fax Number: | 6039244215 |
NPI Enumeration Date: | 08/10/2007 |
NPI Last Update Date: | 04/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 985 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |