| Organization Name: | DAVIS PSYCHOLOGICAL SERVICES, PC |
| NPI Number: | 1548563901 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRANDON L DAVIS (OWNER) |
| Mailing Address: | 821 5th Ave Suite 201 Grinnell |
| State: | IA US |
| Postal Code: | 501121653 |
| Phone Number: | 6412600408 |
| Fax Number: | |
| NPI Enumeration Date: | 12/07/2010 |
| NPI Last Update Date: | 12/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 00997 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |