Provider Demographics
NPI:1346591807
Name:DAVDISON, ARIANA LEAH (MSW)
Entity Type:Individual
Prefix:MS
First Name:ARIANA
Middle Name:LEAH
Last Name:DAVDISON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:ARIANA
Other - Middle Name:LEAH
Other - Last Name:FRIEDMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:2832 TRAMANTO DR
Mailing Address - Street 2:
Mailing Address - City:SAN CARLOS
Mailing Address - State:CA
Mailing Address - Zip Code:94070-3524
Mailing Address - Country:US
Mailing Address - Phone:650-218-8017
Mailing Address - Fax:
Practice Address - Street 1:602 E SANTA CLARA ST
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-1908
Practice Address - Country:US
Practice Address - Phone:408-445-3430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-25
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical