Doctor Name: | MRS. DAYSHA LEE EVERHART |
NPI Number: | 1073945721 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | AP00941988 |
Business Practice Address: | 400 W. Martin Street Martinsburg, WV - 254019991 |
Business Phone Number: | 3046714875 |
Business Fax Number: | |
Mailing Address: | 47 Weese Pt, SHEPHERDSTOWN |
State: | WV |
Postal Code: | 254433680 |
Phone Number: | 3046714875 |
Fax Number: | 3042673599 |
NPI Enumeration Date: | 08/05/2013 |
NPI Last Update Date: | 08/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | AP00941988 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |