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NPI Code Detail

MEDICARE: MRS. KATERRA EILEEN DAVIS LMFT

MEDICARE: MRS. KATERRA EILEEN DAVIS LMFT
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
1106H00000XMarriage & Family Therapist113117CA
2106H00000XMarriage & Family Therapist204319TX

General Provider Information

NPI Number : 1841649209
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATERRA EILEEN DAVIS LMFT
Provider Business Mailing Address
First Line : PO BOX 79094
Second Line :
City : SAGINAW
State : TX
Zip : 76179-0094
Country : US
Telephone Number : 682-717-4534
Fax Number :
Provider Business Practice Location Address
First Line : 3838 OAK LAWN AVE STE 1000
Second Line :
City : DALLAS
State : TX
Zip : 75219-4511
Country : US
Telephone Number : 682-717-4534
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2016
Last Update Date : 08/14/2024

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