Provider Demographics
NPI:1720231681
Name:DAVIS, HILARY S (MFT)
Entity Type:Individual
Prefix:MS
First Name:HILARY
Middle Name:S
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 WESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94112-1220
Mailing Address - Country:US
Mailing Address - Phone:415-378-3240
Mailing Address - Fax:415-715-8908
Practice Address - Street 1:318 WESTLAKE CTR STE 204
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-1437
Practice Address - Country:US
Practice Address - Phone:415-378-3240
Practice Address - Fax:415-715-8908
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-23
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA684101YP2500X
CA52020106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional