Provider Demographics
NPI:1023117314
Name:DEVANEY, DANA A (DO)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:A
Last Name:DEVANEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:824 MAIN ST
Mailing Address - Street 2:SUITE 100A
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-4478
Mailing Address - Country:US
Mailing Address - Phone:610-935-1330
Mailing Address - Fax:610-935-0493
Practice Address - Street 1:824 MAIN ST
Practice Address - Street 2:SUITE 100A
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-4478
Practice Address - Country:US
Practice Address - Phone:610-935-1330
Practice Address - Fax:610-935-0493
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS013644208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics