STACEY DAVIS, PH.D.
Social Work at 7 Ter, Gainesville, FL

License number
Florida PY7649
Category
Social Work
Type
Clinical
Address
Address
225 SW 7Th Ter, Gainesville, FL 32601
Phone
(352) 379-2829
(352) 379-2843 (Fax)
National Provider ID: 1134397128
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about STACEY DAVIS at bizstanding.com

STACEY DAVIS, PHD, PA

Gainesville, FL

Status:
Inactive
Industry:
Health Practitioner's Office
Doing business as:
STACEY DAVIS, PH.D., LLC<br>Stacey Davis, PH.D., PA
Inactive reason:
VOLUNTARY DISSOLUTION
Registration:
Mar 25, 2011
Inactive since:
Jun 11, 2013
Addresses:
11 NW 33 Ct, Gainesville, FL 32607 (Physical)
225 SW 7 Ter, Gainesville, FL 32601
State ID:
P11000029903
Business type:
Florida Profit Corporation
Presidents:
Dr Davis, 11 NW 33 Ct, Gainesville, FL 32607 (Physical),Davis, Stacey, Ph.d, 11 NW 33 Ct, Gainesville, FL 32607 (Physical),Stacey D. Davis President, inactive
Agent:
Davis, Stacey R, Ph.d,11 NW 33 Ct, Gainesville, FL 32607 (Physical)
EIN:
45-2089510

Professional information

Stacey Davis Photo 1

Dr. Stacey Davis, Gainesville FL - PHD
Specialties:
Clinical Psychology
Address:
225 SW 7Th Ter, Gainesville 32601
(352) 379-2829 (Phone), (352) 379-2843 (Fax)
Languages:
English

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