Individual
MRS. DIANE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED MENTAL HEAL
Contact information
Practice address
2803 W 37TH ST, 1ST FLOOR, BROOKLYN, NY 11224-1562
(718) 954-5553
(718) 266-4506
Mailing address
2803 W 37TH ST, BROOKLYN, NY 11224-1562
(718) 954-5553
(718) 266-4506
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
003096-1
NY
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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