Provider Demographics
NPI:1497366249
Name:DAVIS, DAWN LINDSAY
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:LINDSAY
Last Name:DAVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:CHELTENHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19012-1916
Mailing Address - Country:US
Mailing Address - Phone:215-870-3102
Mailing Address - Fax:
Practice Address - Street 1:605 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CHELTENHAM
Practice Address - State:PA
Practice Address - Zip Code:19012-1916
Practice Address - Country:US
Practice Address - Phone:215-934-8327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-14
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health