Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly S Davis, PHD

Individual provider Clinical Psychologist · NPI 1306140827

Kelly S Davis, PHD is a Clinical Psychologist in Idaho Falls, Idaho. Licensed in California and Idaho. Registered with an NPI since 2010.

Licensed in
CA, ID
In the registry since
2010
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1795 W Broadway St # 125
Idaho Falls, ID 83402-3045
Phone: (414) 759-9678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY35176 (CA)
Clinical Psychologist Taxonomy 103TC0700X · Licence PSY-203118 (ID)

Record details

NPI number1306140827
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedDecember 23, 2010
Last updated in NPPESDecember 30, 2024
Certification dateDecember 30, 2024
Mailing address1795 W Broadway St # 125, Idaho Falls, ID 83402-3045

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