Provider Demographics
NPI:1881734879
Name:DAVIES, KATHRYN STEPHAN (MED, LCSW)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:STEPHAN
Last Name:DAVIES
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Gender:F
Credentials:MED, LCSW
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Mailing Address - Street 1:25 LINDSLEY DRIVE
Mailing Address - Street 2:SUITE 100 ATTN C LAMPRON
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960
Mailing Address - Country:US
Mailing Address - Phone:973-451-0246
Mailing Address - Fax:973-451-0166
Practice Address - Street 1:100 MADISON AVENUE
Practice Address - Street 2:MMH CIS BOX 97
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-1956
Practice Address - Country:US
Practice Address - Phone:973-971-5402
Practice Address - Fax:973-971-5693
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-11-16
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Provider Licenses
StateLicense IDTaxonomies
NJ44SC046851001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical