Provider Demographics
NPI:1770537656
Name:DAVIS, FRANCINE (PHD)
Entity type:Individual
Prefix:DR
First Name:FRANCINE
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MIFFLIN PL
Mailing Address - Street 2:SUITE 260
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-4907
Mailing Address - Country:US
Mailing Address - Phone:617-492-9224
Mailing Address - Fax:508-647-0172
Practice Address - Street 1:1 MIFFLIN PL
Practice Address - Street 2:SUITE 260
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-4907
Practice Address - Country:US
Practice Address - Phone:617-492-9224
Practice Address - Fax:508-647-0172
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA4592103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling