Provider Demographics
NPI:1982914677
Name:DAVIS, DEEANNE (MSW)
Entity Type:Individual
Prefix:
First Name:DEEANNE
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 26152
Mailing Address - Street 2:GALLOWSBAY STN.
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00824-2152
Mailing Address - Country:US
Mailing Address - Phone:408-569-0281
Mailing Address - Fax:
Practice Address - Street 1:4500 SUNNY ISLE ISLAND MEDICAL CENTER
Practice Address - Street 2:ST 301
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820
Practice Address - Country:US
Practice Address - Phone:340-719-0690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-14
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker