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DR. JUDITH DAVIS PSY.D.

Clinical Neuropsychologist

Stoughton, Wisconsin

Provider NPI: 1720278005

Provider Information:
DR. JUDITH  DAVIS PSY.D.
Gender: F
Sole Proprietor


Practice Location:
716 ROBY RD  STOUGHTON, WI 53589 US
Tel: 608-206-5377  Fax: --

Business Mailing Address:
716 ROBY RD  STOUGHTON, WI 53589 US
Tel: 608-206-5377  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
WI2212057

Other Provider Identifiers:

IssuerNumberStateType
39128800WI05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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