| Doctor Name: | DANIELLA CORTEZ CAVENAGH |
| NPI Number: | 1366471484 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | LP4910 |
| Business Practice Address: | 466 Germantown Pike Suite 104 Lafayette Hill, PA - 194441805 |
| Business Phone Number: | 2675369860 |
| Business Fax Number: | |
| Mailing Address: | 466 Germantown Pike, Suite 104 LAFAYETTE HILL |
| State: | PA |
| Postal Code: | 194441805 |
| Phone Number: | 2675369860 |
| Fax Number: | |
| NPI Enumeration Date: | 07/01/2006 |
| NPI Last Update Date: | 04/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | LP4910 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |