Provider Demographics
NPI:1649509100
Name:DAVIDSON, MEGAN E (PHD)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:E
Last Name:DAVIDSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 TAAFFE PL APT 306
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-4380
Mailing Address - Country:US
Mailing Address - Phone:917-627-6727
Mailing Address - Fax:
Practice Address - Street 1:213 TAAFFE PL APT 306
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-4380
Practice Address - Country:US
Practice Address - Phone:917-627-6727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-12
Last Update Date:2009-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula