Robert Davis
Individual provider Active NPI Psychologist · Lansing, MI
NPI 1649233263 · NPPES record last updated Jun 15, 2017
Key facts
- NPI
- 1649233263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- Practice address
- 812 E Jolly Rd
Lansing, MI 48910-6818 - Phone
- (517) 346-8410
- NPI assigned
- Apr 7, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Yes |
Addresses
Primary practice location
812 E Jolly Rd
Lansing, MI 48910-6818
Mailing address
812 E Jolly Rd
Lansing, MI 48910-6818
Phone (517) 346-8410
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.