Healthcare Provider Details

I. General information

NPI: 1952455248
Provider Name (Legal Business Name): PERRIANNE DAVIS PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6011 FAYETTEVILLE RD SUITE 204
DURHAM NC
27713-6248
US

IV. Provider business mailing address

6011 FAYETTEVILLE RD SUITE 204
DURHAM NC
27713-6248
US

V. Phone/Fax

Practice location:
  • Phone: 919-361-2029
  • Fax: 919-806-3931
Mailing address:
  • Phone: 919-361-2029
  • Fax: 919-806-3931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2279
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number2279
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number2279
License Number StateNC
# 4
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number2279
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: