| Doctor Name: | DR. ROWENA CARMELA FANTASIA-DAVIS |
| NPI Number: | 1902868318 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PS007993L |
| Business Practice Address: | 480 Pathfinder Dr Birdsboro, PA - 195089489 |
| Business Phone Number: | 6107794615 |
| Business Fax Number: | 6107794661 |
| Mailing Address: | 480 Pathfinder Dr, BIRDSBORO |
| State: | PA |
| Postal Code: | 195089489 |
| Phone Number: | 6107794615 |
| Fax Number: | 6107794661 |
| NPI Enumeration Date: | 04/03/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | PS007993L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |