Provider Demographics
NPI:1003094673
Name:PADIN, DAVIDIA (PHD)
Entity Type:Individual
Prefix:DR
First Name:DAVIDIA
Middle Name:
Last Name:PADIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 CALLE G
Mailing Address - Street 2:PARC. MATEY BO: DOMINGUITO
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-9018
Mailing Address - Country:US
Mailing Address - Phone:787-462-8122
Mailing Address - Fax:
Practice Address - Street 1:83 CALLE G
Practice Address - Street 2:PARC. MATEY BO: DOMINGUITO
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-9018
Practice Address - Country:US
Practice Address - Phone:787-462-8122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3019103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist