Provider Demographics
NPI:1316167422
Name:DAVIS, CLAUDE ERVIN III (PHD)
Entity type:Individual
Prefix:DR
First Name:CLAUDE
Middle Name:ERVIN
Last Name:DAVIS
Suffix:III
Gender:M
Credentials:PHD
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Mailing Address - Street 1:5TH ST.
Mailing Address - Street 2:EAST CAROLINA UNIVERSITY DEPARTMENT OF PSYCHOLOGY
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858
Mailing Address - Country:US
Mailing Address - Phone:252-328-6308
Mailing Address - Fax:252-328-6283
Practice Address - Street 1:600 MOYE BLVD
Practice Address - Street 2:BRODY SCHOOL OF MEDICINE EAST CAROLINA UNIVERSITY
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-4300
Practice Address - Country:US
Practice Address - Phone:252-744-2290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC3193103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical