Doctor Name: | DANIEL ALLEN DAVIS |
NPI Number: | 1497005508 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA |
License Number: | 6401013106 |
Business Practice Address: | 519 S Park St Kalamazoo, MI - 490075117 |
Business Phone Number: | 2693832294 |
Business Fax Number: | |
Mailing Address: | 54251 Old Mill Dr, ELKHART |
State: | IN |
Postal Code: | 465144819 |
Phone Number: | 5175990085 |
Fax Number: | |
NPI Enumeration Date: | 09/17/2012 |
NPI Last Update Date: | 12/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401013106 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |