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General NPI Number Information
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NPI Number | 1215740527
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Entity Type | Organization
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Legal Business Name | DAVEY PSYCHOLOGY LLC
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Dates
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Enumeration Date | 01/30/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 2916 MARKETPLACE DR STE 208
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City | FITCHBURG
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State | WI
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Zip | 53719-5327
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Country | US
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Telephone | 608-608-0813
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Fax |
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Provider Business Mailing Address
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Address Line | 2916 MARKETPLACE DR STE 208
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City | FITCHBURG
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State | WI
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Zip | 53719-5327
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Country | US
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Telephone | 608-608-0813
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CARLA DAVEY
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Credential | PHD
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Telephone | 801-493-5235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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