DR. JUDITH DAVIS


Address: 716 Roby Rd, Stoughton, WI 53589
Phone: 6082065377

DR. JUDITH DAVIS (NPI# 1720278005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720278005
Entity Type Individual
Full Name DR. JUDITH DAVIS
Credential PSY.D.
Practice Address 716 Roby Rd
Stoughton
WI 53589
Mailing Address 716 Roby Rd
Stoughton
WI 53589-1338
Practice Telephone 6082065377
Mailing Telephone 6082065377
Enumeration Date 2007-08-01
Last Update Date 2018-08-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 2212057 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 39128800 05

Other Providers JUDITH DAVIS

NPI Name Taxonomy Address Enumeration
1073834701 Judith Davis Case Manager/Care Coordinator 3110 E 25th Pl Unit 2, Tulsa, OK 74114-4434 2010-06-16
1740428358 Judith M Davis Psychiatry & Neurology 1450 Creekside Dr, #36, Walnut Creek, CA 94596-5558 2009-02-04
1780805705 Judith Davis Marriage & Family Therapist 664 Main St., Amherst, MA 01002 2007-05-01
1760509731 Judith Terry Davis Psychologist 27 Old Hickory Ln, Huntington, NY 11743-2526 2007-03-23
1528183886 Judith P. Davis Social Worker 7912 Horseshoe Ln, Potomac, MD 20854-3829 2007-03-19
1679602098 Judith Ann Davis Home Health Aide 26906 Schady Rd, Olmsted Falls, OH 44138-1710 2007-03-02
1023031275 Judith A Davis Chiropractor 1280 W. Main St. Ste 121, Sun Prairie, WI 53590 2006-07-26
1497242507 Judith Fanus Davis Psychologist 750 Imperial St, Christiansburg, VA 24073-5309 2018-04-16
1225484835 Judith Jones Davis Occupational Therapist 1007 Howard St, Mocksville, NC 27028-2548 2016-05-12
1568862100 Judith Davis Rehabilitation Practitioner 4285 N Rancho Dr, Las Vegas, NV 89130-3446 2014-09-02

Office Location

Street Address 716 ROBY RD
City STOUGHTON
State WI
Zip Code 53589

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467971507 Linda Kay Balthazor Registered Nurse 900 Truman, Stoughton, WI 53589 2017-09-10
1801342464 Lorchid Lanoway Licensed Practical Nurse 1817 Cedarbrook Ln, Unit 9, Stoughton, WI 53589 2016-09-01
1114203296 Marilyn Mary Mackinnon Pharmacist 1705 Highway Fifty One, Stoughton, WI 53589 2011-11-02
1053693028 Alfred Bennin Pharmacist 1705 Us Hwy 51/138, Stoughton, WI 53589 2011-09-15
1447531892 Tina Ann Ferguson Pharmacist 1705 Us Highway 51, Stoughton, WI 53589 2011-08-30
1285926972 Jenifer Lee Stokstad Registered Nurse 3496 Hwy 138, Stoughton, WI 53589 2011-05-12
1447583018 Stephanie Marie Kind Licensed Practical Nurse 608 W South St, Stoughton, WI 53589 2009-09-14
1386885721 Scott Tauferner Physical Therapist 2300 Us Hwy 51-138, Stoughton, WI 53589 2009-03-16
1245495480 Roundy's Supermarkets Inc Pharmacy 1750 Hwy 51 W, Stoughton, WI 53589 2008-07-28
1346459609 Susan Elizabeth Cole Allfrey Occupational Therapist 400 North Morris St, Skaalen Sunset Home Inc, Stoughton, WI 53589 2007-05-22
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295092641 Lori Elizabeth Azzara Clinical Neuropsychologist 7 Cabot Pl, Stoughton, MA 02072-4631 2012-04-23
1659498590 Richard Stuart Fischer Clinical Neuropsychologist 150 York St, Stoughton, MA 02072-1829 2007-03-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578023156 Midway Clinical Neuropsychologic Institute and Children's Wellness Fou Clinical Neuropsychologist 1024 60th Street, Suite 5, Kenosha, WI 53140-4099 2019-03-21
1114449949 Tobias D Kaemmerer Clinical Neuropsychologist 2901 W Kinnickinnic River Pkwy Ste 417, Milwaukee, WI 53215-3660 2017-07-13
1972989804 Anne L Shandera-ochsner Clinical Neuropsychologist 212 11th Street, La Crosse, WI 54601 2015-08-03
1891054441 Mary Christine Majors Clinical Neuropsychologist 625 Wildlife Dr, Fond Du Lac, WI 54937-7708 2012-05-16
1821360199 Tiffany M Jacobsen Clinical Neuropsychologist 2448 S 102nd St Ste 270, Milwaukee, WI 53227-2147 2012-02-02
1861625220 Rebecca L Torres Clinical Neuropsychologist 721 American Ave Ste 406, Waukesha, WI 53188-5071 2009-09-01
1336319979 Shellie Dee Locke Clinical Neuropsychologist 9020 15th Ave, Kenosha, WI 53143-6803 2008-03-11
1538352935 Robert George Owens Clinical Neuropsychologist 2653 Statdust Trail, Verona, WI 53593-9714 2007-08-20
1821201930 Bonita P Klein-tasman Clinical Neuropsychologist 2441 E Hartford Ave, Garland 210, Milwaukee, WI 53211-3160 2007-05-07
1659598746 Christopher Paul Wiebusch Clinical Neuropsychologist N27w23953 Paul Rd, Ste. 206, Pewaukee, WI 53072-6242 2007-04-19
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Competitor

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City STOUGHTON
Zip Code 53589

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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