Individual provider · Type 1 NPI

Caitlin Park-Davidson

Professional Counselor · Philadelphia, PA

NPI number 1316595069 Active

Practice location

4865 Market St
Philadelphia, PA 19139-3508

Call (610) 551-3163 Map

Mailing address

3220 Potter St
Philadelphia, PA 19134-1922

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XPC011666 (PA)

Professional Counselor: Definition to come...

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About NPI 1316595069

Caitlin Park-Davidson's National Provider Identifier is 1316595069, issued on Aug 27, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 27, 2019.