IndividualActive
Anthony Davison, MA. ED., CAGS
NPI 1578079323 · School Psychologist · Grand Chain, IL
Provider details
- NPI number
- 1578079323
- Entity type
- Individual
- Primary specialty
- School PsychologistBehavioral Health & Social Service Providers
- Credential
- MA. ED., CAGS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1191856 (IL)
Practice location
251 W 2nd St
Grand Chain, IL 62941-3404
Phone: (618) 634-9800
Fax: (618) 634-9864
Mailing address
251 W 2nd St
Grand Chain, IL 62941-3404
Registry dates
- Enumerated
- 2017-12-15
- Last updated
- 2017-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.