Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | OH1276996 | OH |
NPI | 1063883809 |
---|---|
Provider Name | Miss Helen Davis |
First Address | Mount Vernon, OH 43050-4510 |
Second Address | Mount Vernon, OH 43050-4510 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2015 |
Last Update Date | 19/10/2015 |