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Shadana Davis, Psyd Pllc
Adolescent and Children Mental Health Clinic/Center in Philadelphia, Pennsylvania
NPI 1912531633

Shadana Davis, Psyd Pllc is an Adolescent and Children Mental Health Clinic/Center based in Philadelphia, PA and is specialized in Adolescent and Children Mental Health. Shadana Davis, Psyd Pllc practices in Philadelphia, PA. The NPI Number for Shadana Davis, Psyd Pllc is 1912531633 and holds a License No. (Pennsylvania).

The current practice location address for Shadana Davis, Psyd Pllc is 100 W Evergreen Ave, Philadelphia, PA and can be reached out via phone at 267-282-1175 and via fax at 267-282-1084.

Location: 100 W Evergreen Ave, Philadelphia, PA, 19150-3021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912531633
Provider Name
Shadana Davis, Psyd Pllc
Credential
Provider Entity Type
Organization
Address
100 W Evergreen Ave, Philadelphia, PA, 19150-3021
Phone Number
267-282-1175
Fax Number
267-282-1084
Provider Enumeration Date
03/03/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
100 W Evergreen Ave
City
Philadelphia
State
Pennsylvania
Zip
19118-3814
Phone Number
267-282-1175
Fax Number
267-282-1084
person
Provider Business Mailing Address Details
Address
100 W Evergreen Ave
City
Philadelphia
State
Pennsylvania
Zip
19118-3814
Phone Number
267-282-1175
Fax Number
267-282-1084
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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