Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 1272 | AL |
Y | 103TC0700X | Clinical Psychologist | 1272 | AL |
N | 102L00000X | Psychologist | 1272 | AL |
N | 103T00000X | Psychologist | 1272 | AL |
N | 103G00000X | Clinical Psychologist | 1272 | AL |
N | 103TC0700X | Clinical Psychologist | 1272 | AL |
N | 103TR0400X | Rehabilitation Psychologist | 1272 | AL |
NPI | 1558360719 |
---|---|
Provider Name | Dr. Lynley Sheryl Davis |
First Address | Huntsville, AL 35809-7000 |
Second Address | Huntsville, AL 35801-5209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2005 |
Last Update Date | 25/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q0822 | (02) | AL |