Provider Demographics
NPI:1790516862
Name:DAVIES, MORGAN AMANDA (PSYD)
Entity type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:AMANDA
Last Name:DAVIES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2108 N OLA AVE UNIT 216
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-2018
Mailing Address - Country:US
Mailing Address - Phone:321-499-0558
Mailing Address - Fax:
Practice Address - Street 1:2108 N OLA AVE UNIT 216
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-2018
Practice Address - Country:US
Practice Address - Phone:321-499-0558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY12326103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical