Doctor Name: | MRS. PRUNELLA MARY DAVIDSON |
NPI Number: | 1154683662 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | |
Business Practice Address: | 645 Penn St Reading, PA - 196013543 |
Business Phone Number: | 6103734281 |
Business Fax Number: | 6103733779 |
Mailing Address: | 645 Penn St, READING |
State: | PA |
Postal Code: | 196013543 |
Phone Number: | 6103734281 |
Fax Number: | 6103733779 |
NPI Enumeration Date: | 06/11/2012 |
NPI Last Update Date: | 06/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP1600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Pastoral |
Taxonomy Definition: |