MEDICARE: DR. MORGAN AMANDA DAVIES PSYD

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	PY12326	FL

General Provider Information

NPI Number	:	1790516862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MORGAN AMANDA DAVIES PSYD

Provider Business Mailing Address
First Line	:	2108 N OLA AVE UNIT 216
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-2018
Country	:	US
Telephone Number	:	321-499-0558
Fax Number	:

Provider Business Practice Location Address
First Line	:	2108 N OLA AVE UNIT 216
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-2018
Country	:	US
Telephone Number	:	321-499-0558
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2024
Last Update Date	:	08/12/2024

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