Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEDRICK XAVIER DAVIS
Active Sole ProprietorDEDRICK XAVIER DAVIS is a Addiction (Substance Use Disorder) Psychologist healthcare provider located in HANFORD, California. NPI 1063273233 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Psychologist · HANFORD, CA
Registration Details
- NPI Number
- 1063273233
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 16, 2024 (2.6090754095245 yrs)
- Last Updated
- Jan 16, 2024
- License
-
2345634 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2020 N VINE CIRHANFORD, CA, 932308937Browse CA providers · Browse ZIP 93230
- Phone
- 5596708789
- Primary Specialty
-
Addiction (Substance Use Disorder) Psychologist
103TA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Psychologist
- Additional Specialty
- Addiction (Substance Use Disorder) Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.