Provider Demographics
NPI:1346800547
Name:CAPIK, DAVINA RUTH (NCC)
Entity Type:Individual
Prefix:
First Name:DAVINA
Middle Name:RUTH
Last Name:CAPIK
Suffix:
Gender:F
Credentials:NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2311 FAIRFIELD RD STE F
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-6310
Mailing Address - Country:US
Mailing Address - Phone:570-640-5448
Mailing Address - Fax:855-887-7199
Practice Address - Street 1:2311 FAIRFIELD RD STE F
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-6310
Practice Address - Country:US
Practice Address - Phone:570-640-5448
Practice Address - Fax:855-997-7199
Is Sole Proprietor?:No
Enumeration Date:2019-06-19
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA240214101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor