Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PSY 25722 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY 25722 | CA |
NPI | 1003936154 |
---|---|
Provider Name | Dr. Sohyila Davani |
First Address | Berkeley, CA 94704-1227 |
Second Address | Berkeley, CA 94704-1227 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2007 |
Last Update Date | 19/04/2020 |