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Tara L Davis, CNP,LPCC-S
Psychiatric/Mental Health Nurse Practitioner in Canton, Ohio
NPI 1821118530

Tara L Davis is a Psychiatric/Mental Health Nurse Practitioner based in Canton, OH and is specialized in Psychiatric/Mental Health. Tara L Davis practices in Canton, OH and has the professional credentials of CNP,LPCC-S. The NPI Number for Tara L Davis is 1821118530 and holds a License No. E.0008189-SUPV (Ohio).

The current practice location address for Tara L Davis is 1201 S Main St Ste 100, Canton, OH and can be reached out via phone at 330-244-8782 and via fax at 330-244-8795. You can also correspond with Tara L Davis through the mailing address at 1201 S MAIN ST STE 100, CANTON, OH - 44720-4283 (mailing address contact number: 330-244-8782).

Location: 1201 S Main St Ste 100, Canton, OH, 44720-4283
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Provider Profile Details
NPI Number
1821118530
Provider Name
Tara L Davis
Credential
CNP,LPCC-S
Provider Entity Type
Individual
Gender
Female
Address
1201 S Main St Ste 100, Canton, OH, 44720-4283
Phone Number
330-244-8782
Fax Number
330-244-8795
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0315885 05 OH
11797385 01 OH PSYCHIATRY
institution
Provider Business Practice Location Address Details
Address
1201 S Main St Ste 100
City
State
Zip
44720-4283
Phone Number
330-244-8782
Fax Number
330-244-8795
person
Provider Business Mailing Address Details
Address
1201 S Main St Ste 100
City
State
Zip
44720-4283
Phone Number
330-244-8782
Fax Number
330-244-8795
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
APRN.CNP.023645 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
E.0008189-SUPV (Ohio)
Definition
Definition to come...
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