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General NPI Number Information
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NPI Number | 1316790942
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Entity Type | Organization
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Legal Business Name | KRISTEN DAVIDSON, PSY.D., PLLC
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Dates
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Enumeration Date | 04/11/2024
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Last Update Date | 08/31/2025
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Provider Practice Location Address
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Address Line | 3801 AVALON PARK EAST BLVD STE 200
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City | ORLANDO
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State | FL
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Zip | 32828-4902
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Country | US
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Telephone | 407-793-1282
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Fax | 833-895-1282
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Provider Business Mailing Address
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Address Line | 13606 CASSIOPEIA DR
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City | ORLANDO
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State | FL
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Zip | 32828-9310
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Country | US
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Telephone | 405-315-3070
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Fax |
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Authorized Official
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Title or Position | CLINICAL NEUROPSYCHOLOGIST
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Name | DR. KRISTEN MICHELLE DAVIDSON
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Credential | PSYD
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Telephone | 407-793-1282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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