Vicki Davison
Counseling Psychologist
1040 4th Ave
Lake Odessa
, Michigan 48849-1004
Vicki Davison
Counseling Psychologist
1040 4th Ave
Lake Odessa
, Michigan 48849-1004
(616) 676-4253
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About
Features
Specialties
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- Vicki Davison
- 450 4th Ave
- Lake Odessa, MI
- Zip : 48849-1204
- Fax : (616) 676-4253
- Phone : (616) 460-6848
Second Address
- Vicki Davison
- 1040 4th Ave
- Lake Odessa, MI
- Zip : 48849-1004
- Fax : (616) 676-4253
- Phone : (616) 460-6848
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TC1900X | Counseling Psychologist | MI | |
| Y | 103TC1900X | Counseling Psychologist | 6301013957 | MI |
National Provider Identifier
| NPI | 1083133607 |
|---|---|
| Provider Name | Vicki Davison |
| First Address | Lake Odessa, MI 48849-1204 |
| Second Address | Lake Odessa, MI 48849-1004 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/09/2017 |
| Last Update Date | 14/09/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 6301013957 | LICENSE (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.