Provider Demographics
NPI:1558400127
Name:DAVIES, DONNA F (PSYD)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:F
Last Name:DAVIES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY4701103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical