Provider Demographics
NPI:1023182268
Name:DAYHOFF, DAVIS M (PHD)
Entity Type:Individual
Prefix:DR
First Name:DAVIS
Middle Name:M
Last Name:DAYHOFF
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11007 CASH VALLEY RD NW
Mailing Address - Street 2:
Mailing Address - City:LAVALE
Mailing Address - State:MD
Mailing Address - Zip Code:21502-6052
Mailing Address - Country:US
Mailing Address - Phone:301-759-3360
Mailing Address - Fax:301-759-3360
Practice Address - Street 1:7 MARKET ST
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-2214
Practice Address - Country:US
Practice Address - Phone:301-759-3360
Practice Address - Fax:301-759-3360
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2024-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0242101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional