| Doctor Name: | MS. MARY LYNN DAVIS |
| NPI Number: | 1215123104 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | B.C.B.A. |
| License Number: | |
| Business Practice Address: | 1861 Hawthorne Westchester, IL - 60154 |
| Business Phone Number: | 7087681333 |
| Business Fax Number: | |
| Mailing Address: | 1861 Hawthorne Ave, WESTCHESTER |
| State: | IL |
| Postal Code: | 601544358 |
| Phone Number: | 7087681333 |
| Fax Number: | |
| NPI Enumeration Date: | 09/24/2007 |
| NPI Last Update Date: | 05/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |