Davis, Shandra Anicia
Davis, Shandra Anicia is an sole proprietor health care provider with primary practice located at 10707 66Th St N Ste 7 , Pinellas Park FL 33782-2336. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Davis, Shandra Anicia can be contacted via phone (813) 586-1529.Contact Information
Primary practice address
10707 66Th St N Ste 7
Pinellas Park FL 33782-2336
Phone: (813) 586-1529
Fax: (727) 300-0221
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X |
Profile Details
| NPI number | 1205190592 |
|---|---|
| LBN Legal business name | Davis, Shandra Anicia |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2012 |
| Last updated | Nov 30th, 2022 - about 4 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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