Provider Demographics
NPI:1942542915
Name:ANNE E DAVIES,PSY.D
Entity Type:Organization
Organization Name:ANNE E DAVIES,PSY.D
Other - Org Name:ANNE E DAVIES PSYD, PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:E
Authorized Official - Last Name:DAVIES
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:954-895-5856
Mailing Address - Street 1:3312 NE 40TH ST
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-6412
Mailing Address - Country:US
Mailing Address - Phone:954-895-5856
Mailing Address - Fax:954-563-8807
Practice Address - Street 1:2840 E OAKLAND PARK BLVD
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33306-1814
Practice Address - Country:US
Practice Address - Phone:954-895-5856
Practice Address - Fax:954-563-8807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-18
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6038103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty