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NPI Code Detail

MEDICARE: GREGORY REID DAVIS JR. MA, AMFT

MEDICARE: GREGORY REID DAVIS JR. MA, AMFT
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 Therapist145545CA

General Provider Information

NPI Number : 1851250161
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY REID DAVIS JR. MA, AMFT
Provider Business Mailing Address
First Line : 1005 ATLANTIC AVE STE 241
Second Line :
City : ALAMEDA
State : CA
Zip : 94501-1148
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1005 ATLANTIC AVE STE 241
Second Line :
City : ALAMEDA
State : CA
Zip : 94501-1148
Country : US
Telephone Number : 415-910-4642
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2026
Last Update Date : 01/21/2026

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