Doctor Name: | MRS. KATHLEEN MARIE DAVISON |
NPI Number: | 1245380203 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 16 Pinenut Ct Oakley, CA - 945616345 |
Business Phone Number: | 9254399628 |
Business Fax Number: | 9254399639 |
Mailing Address: | 16 Pinenut Ct, OAKLEY |
State: | CA |
Postal Code: | 945616345 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |