Linda Ellen Davidson, M.S.
Individual provider Active NPI Clinical Psychologist · Nevada, MO
NPI 1801904792 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1801904792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 01384 (MO)
- Practice address
- 212 N Main St
Nevada, MO 64772-2332 - Phone
- (417) 667-9608
- Fax
- (417) 667-9713
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- 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
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 01384 | MO | Yes |
Addresses
Primary practice location
212 N Main St
Nevada, MO 64772-2332
Mailing address
PO Box 607
Nevada, MO 64772-0607
Phone (417) 667-9608
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24567024 | Other | MO | BCBS OF KC |
Other providers in Nevada, MO
- Richard Crain
- Brianne Culbertson
- Abhay Suresh Dalal
- Dandelion Skies LLC
- Juanita Davidson
- Ralea Beth Degruson
- Kimberly S Delgado
- Dermatology and Surgery PC
- Joseph T Dodd
- Sarah Elaine Dodson
All providers in Nevada, MO · Clinical Psychologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. 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.