Individual
DEANGIE A DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4055 RIDGE AVE, PHILADELPHIA, PA 19129-1576
(267) 225-6560
Mailing address
4055 RIDGE AVE APT 8107, PHILADELPHIA, PA 19129-1597
(302) 252-1535
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS020299
PA
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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