Provider Demographics
NPI:1851580039
Name:DAVIS, YVETTE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:YVETTE
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 E COMPTON BLVD FL 1
Mailing Address - Street 2:COMPTON MENTAL HEALTH-SPECIALIZED FOSTER CARE PROGRAM
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90221-3303
Mailing Address - Country:US
Mailing Address - Phone:310-668-6950
Mailing Address - Fax:310-898-1607
Practice Address - Street 1:921 E COMPTON BLVD FL 1
Practice Address - Street 2:COMPTON MENTAL HEALTH-SPECIALIZED FOSTER CARE PROGRAM
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90221-3303
Practice Address - Country:US
Practice Address - Phone:310-668-9650
Practice Address - Fax:310-898-1607
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-23
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical