Provider Demographics
NPI:1265507446
Name:SIGL-DAVIES, DONNA D (MA, PCC)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:D
Last Name:SIGL-DAVIES
Suffix:
Gender:F
Credentials:MA, PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:885 HIGH ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-4158
Mailing Address - Country:US
Mailing Address - Phone:614-885-2411
Mailing Address - Fax:614-885-2453
Practice Address - Street 1:885 HIGH ST
Practice Address - Street 2:SUITE 106
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-4158
Practice Address - Country:US
Practice Address - Phone:614-885-2411
Practice Address - Fax:614-885-2453
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE4128101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000362778Medicare UPIN