Individual
DANIELLA CAVENAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1265 DRUMMERS LN STE 120, WAYNE, PA 19087-1570
(215) 258-4191
Mailing address
PO BOX 144, FLOURTOWN, PA 19031-0144
(215) 258-4191
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
LP4910
MN
103TC0700X
Clinical Psychologist
Primary
PS016868
PA
103TC0700X
Clinical Psychologist
PSY18504
CA
Other
Enumeration date
07/01/2006
Last updated
08/15/2023
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