Provider Demographics
NPI:1437299781
Name:DAVIS, HILARY ELAINE (LMFT)
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:ELAINE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 6TH AVE S
Mailing Address - Street 2:SUITE 25
Mailing Address - City:CLINTON
Mailing Address - State:IA
Mailing Address - Zip Code:52732-4338
Mailing Address - Country:US
Mailing Address - Phone:563-242-9210
Mailing Address - Fax:563-243-0730
Practice Address - Street 1:215 6TH AVE S
Practice Address - Street 2:SUITE 25
Practice Address - City:CLINTON
Practice Address - State:IA
Practice Address - Zip Code:52732-4338
Practice Address - Country:US
Practice Address - Phone:563-242-9210
Practice Address - Fax:563-243-0730
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00237106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist