Doctor Name: | MRS. MINDY DAVIN |
NPI Number: | 1003918541 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.I.C.S.W |
License Number: | 1018803 |
Business Practice Address: | 573 Main St Winchester, MA - 018902900 |
Business Phone Number: | 7817294010 |
Business Fax Number: | 7817212113 |
Mailing Address: | 130 Sunset Rd, ARLINGTON |
State: | MA |
Postal Code: | 024748921 |
Phone Number: | 7816460917 |
Fax Number: | 7817212118 |
NPI Enumeration Date: | 09/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1018803 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |