Individual
SHADANA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D, LCSW
Contact information
Practice address
11 W HIGHLAND AVE, PHILADELPHIA, PA 19118-3309
(267) 282-1175
(267) 282-1084
Mailing address
1044 E SEDGWICK ST, PHILADELPHIA, PA 19150-3021
(267) 282-1175
(267) 282-1084
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS018480
PA
1041C0700X
Clinical Social Worker
CW016131
PA
Other
Enumeration date
04/12/2013
Last updated
07/12/2024
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