Davis, Lara

Davis, Lara is an individual health care provider with primary practice located at 505 N Park Ave Ste 201 , Winter Park FL 32789-3268. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Davis, Lara can be contacted via phone (407) 641-1431.

Contact Information

Primary practice address
505 N Park Ave Ste 201 Winter Park FL 32789-3268
Phone: (407) 641-1431
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY9916 Florida

Profile Details

NPI number 1114439098
LBN Legal business name Davis, Lara
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2017
Last updated Apr 20th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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