Provider Demographics
NPI:1831530518
Name:STEWART, DAVI AYLA (PSYD, LPC)
Entity type:Individual
Prefix:DR
First Name:DAVI
Middle Name:AYLA
Last Name:STEWART
Suffix:
Gender:F
Credentials:PSYD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 MAIN ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-5380
Mailing Address - Country:US
Mailing Address - Phone:830-370-2880
Mailing Address - Fax:830-792-6406
Practice Address - Street 1:500 MAIN ST
Practice Address - Street 2:SUITE D
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-5380
Practice Address - Country:US
Practice Address - Phone:830-370-2880
Practice Address - Fax:830-792-6406
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-10
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16402174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist