Provider Demographics
NPI:1073689816
Name:DONNA F DAVIES, PSY.D., PA
Entity Type:Organization
Organization Name:DONNA F DAVIES, PSY.D., PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:FELECIA
Authorized Official - Last Name:DAVIES
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:954-252-1274
Mailing Address - Street 1:9112 GRIFFIN RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33328-3540
Mailing Address - Country:US
Mailing Address - Phone:954-252-1274
Mailing Address - Fax:954-252-6167
Practice Address - Street 1:9112 GRIFFIN RD
Practice Address - Street 2:SUITE D
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33328-3540
Practice Address - Country:US
Practice Address - Phone:954-252-1274
Practice Address - Fax:954-252-6167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-24
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0004701103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL73972AMedicare PIN