Individual provider · Type 1 NPI

Kenneth P. Davis

Psychologist · Chicago, IL

NPI number 1205040771 Active

Practice location

821 W Van Buren St
Chicago, IL 60607-3517

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X1541 (WI)
Clinical Psychologist 103TC0700X071-004444 (IL)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1205040771

Kenneth P. Davis's National Provider Identifier is 1205040771, issued on May 10, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Chicago, IL. The record was last updated on Sep 11, 2025.