MEDICARE: ANNE E DAVIES,PSY.D

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
1	103T00000X	Psychologist	PY6038	FL

General Provider Information

NPI Number	:	1942542915
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANNE E DAVIES,PSY.D

Provider Business Mailing Address
First Line	:	3312 NE 40TH ST
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-6412
Country	:	US
Telephone Number	:	954-895-5856
Fax Number	:	954-563-8807

Provider Business Practice Location Address
First Line	:	2840 E OAKLAND PARK BLVD
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33306-1814
Country	:	US
Telephone Number	:	954-895-5856
Fax Number	:	954-563-8807

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ANNE E DAVIES
Credential	:	PSY.D
Telephone Number	:	954-895-5856

Provider Enumeration Date	:	03/18/2013
Last Update Date	:	03/18/2013

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