Doctor Name: | CYNTHIA DAVIS |
NPI Number: | 1164648507 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | Worcester County Health Department - Market Square 422 W. Market Street Snow Hill, MD - 21863 |
Business Phone Number: | 4106324510 |
Business Fax Number: | 4106324933 |
Mailing Address: | 120 Crockett Ave, FRUITLAND |
State: | MD |
Postal Code: | 218261733 |
Phone Number: | 4108609961 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |