Doctor Name: | ZARAH JOY DAVIS |
NPI Number: | 1245475854 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | SW 10222 |
Business Practice Address: | 701 Hospital Loop 2nd Floor Mental Health Clinic Fairchild Afb, WA - 990118704 |
Business Phone Number: | 5092472687 |
Business Fax Number: | |
Mailing Address: | 7252 Nebraska Ave, FAIRCHILD AFB |
State: | WA |
Postal Code: | 990113000 |
Phone Number: | 8505276915 |
Fax Number: | |
NPI Enumeration Date: | 12/10/2008 |
NPI Last Update Date: | 03/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | SW 10222 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |