Provider Demographics
NPI:1033898796
Name:WHITFIELD, DAYA KARLYN KRYSHAWN (ASW)
Entity Type:Individual
Prefix:
First Name:DAYA
Middle Name:KARLYN KRYSHAWN
Last Name:WHITFIELD
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5827 TUJUNGA AVE UNIT 1
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-1165
Mailing Address - Country:US
Mailing Address - Phone:818-652-6555
Mailing Address - Fax:
Practice Address - Street 1:5827 TUJUNGA AVE UNIT 1
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-1165
Practice Address - Country:US
Practice Address - Phone:818-652-6555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA113861101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health