| Organization Name: | DANIELLA C CAVENAGH PHD PLLC |
| NPI Number: | 1407155336 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIELLA CAVENAGH (LICENSED PSYCHOLOGIST/GROUP ADMIN) |
| Mailing Address: | 466 Germantown Pike Suite 104 Lafayette Hill |
| State: | PA US |
| Postal Code: | 194441805 |
| Phone Number: | 2675369860 |
| Fax Number: | |
| NPI Enumeration Date: | 03/17/2011 |
| NPI Last Update Date: | 03/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS016868 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |