Doctor Name: | MS. ELIZABETH DAVIDSON |
NPI Number: | 1154392538 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW,LCADC |
License Number: | 37LC00126500 |
Business Practice Address: | 323 Main St Metuchen, NJ - 088402476 |
Business Phone Number: | 7329022181 |
Business Fax Number: | |
Mailing Address: | 323 Main St, METUCHEN |
State: | NJ |
Postal Code: | 088402476 |
Phone Number: | 7329022181 |
Fax Number: | |
NPI Enumeration Date: | 02/01/2006 |
NPI Last Update Date: | 04/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 37LC00126500 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |