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Contact Information

STACY T DAVIS, PSYD, MP
2020 W PINHOOK RD STE 504
LAFAYETTE, LA70508-3212
 Phone: 337-593-0830
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for STACY T DAVIS · (Female)

NPI Number 1497908602
Status Active
Credentials PSYD, MP
Entity Individual
Enumeration date 10/31/2008
Last updated 08/02/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 1073
  • LA License # 339669
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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