Healthcare Provider Details

I. General information

NPI: 1063980878
Provider Name (Legal Business Name): RASHIDA Z DAVIS PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2018
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4601 OLD SHEPARD PL STE 404
PLANO TX
75093-5277
US

IV. Provider business mailing address

4601 OLD SHEPARD PL STE 404
PLANO TX
75093-5277
US

V. Phone/Fax

Practice location:
  • Phone: 737-471-4522
  • Fax:
Mailing address:
  • Phone: 737-471-4522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: