Doctor Name: | MR. REGINALD LEE DAVIS |
NPI Number: | 1295078269 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | INSTRUCTOR |
License Number: | |
Business Practice Address: | 500 N Main St Summerville, SC - 294836439 |
Business Phone Number: | 8438714790 |
Business Fax Number: | |
Mailing Address: | 7900 Elderberry Cir, CHARLESTON |
State: | SC |
Postal Code: | 294182133 |
Phone Number: | 8437671251 |
Fax Number: | 8437601042 |
NPI Enumeration Date: | 03/28/2013 |
NPI Last Update Date: | 03/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |