Individual
STEPHANIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
3774 RIDGE PIKE, COLLEGEVILLE, PA 19426-3169
(610) 489-3333
Mailing address
27 BROOKSIDE DR APT A, LANSDALE, PA 19446-7221
(484) 318-6912
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC014601
RI
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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