Organization · Type 2 NPI
Shadana Davis, Psyd PLLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Philadelphia, PA
NPI number
1912531633
Active
Practice location
100 W Evergreen Ave
Philadelphia, PA 19118-3814
Fax (267) 282-1084
Mailing address
1044 E Sedgwick St
Philadelphia, PA 19150-3021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
3 other providers at this address
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About NPI 1912531633
Shadana Davis, Psyd PLLC's National Provider Identifier is 1912531633, issued on Mar 3, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 3, 2020.