MEDICARE: DR. ALEX DAVIS - ASSESSMENT AND CONSULTING PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1477423887
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. ALEX DAVIS - ASSESSMENT AND CONSULTING PLLC

Provider Business Mailing Address
First Line	:	1401 RIVERPLACE BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-9069
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1401 RIVERPLACE BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-9069
Country	:	US
Telephone Number	:	904-300-5958
Fax Number	:

Authorized Official
Title or Position	:	NEUROPSYCHOLOGIST
Name	:	ALEXANDRA DAVIS
Credential	:	PSYD
Telephone Number	:	973-932-7573

Provider Enumeration Date	:	11/10/2025
Last Update Date	:	11/26/2025

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