Provider Demographics
NPI:1659480705
Name:LINK, DARLENE DAVIS (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DARLENE
Middle Name:DAVIS
Last Name:LINK
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MISS
Other - First Name:DARLENE
Other - Middle Name:ROBIN
Other - Last Name:LINK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:638 NORLYN CT
Mailing Address - Street 2:SUITE 304
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-3059
Mailing Address - Country:US
Mailing Address - Phone:610-265-2704
Mailing Address - Fax:
Practice Address - Street 1:491 ALLENDALE RD
Practice Address - Street 2:SUITE 304
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1426
Practice Address - Country:US
Practice Address - Phone:610-805-6744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS - 016007103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical