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Organization
SHADANA DAVIS, PSYD PLLC
Active
Organization
SHADANA DAVIS, PSYD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHADANA DAVIS PSYD (PSYCHOLOGIST/OWNER)
(267) 250-0466
Entity
Organization
Contact information
Practice address
100 W EVERGREEN AVE, PHILADELPHIA, PA 19118-3814
(267) 282-1175
(267) 282-1084
Mailing address
1044 E SEDGWICK ST, PHILADELPHIA, PA 19150-3021
(267) 250-0466
(267) 282-1084
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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