Provider Demographics
NPI:1801080999
Name:RAWLINGS, DAVID EMORY (PHD)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:EMORY
Last Name:RAWLINGS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 WASHINGTON LANE
Mailing Address - Street 2:SUITE #39B-LL WYNCOTE HOUSE
Mailing Address - City:WYNCOTE
Mailing Address - State:PA
Mailing Address - Zip Code:19095-1403
Mailing Address - Country:US
Mailing Address - Phone:215-886-0736
Mailing Address - Fax:
Practice Address - Street 1:25 WASHINGTON LANE
Practice Address - Street 2:SUITE #39B-LL WYNCOTE HOUSE
Practice Address - City:WYNCOTE
Practice Address - State:PA
Practice Address - Zip Code:19095-1403
Practice Address - Country:US
Practice Address - Phone:215-886-0736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-31
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004090L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARA114087Medicare PIN