Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | ||
N | 101YP2500X | Professional Counselor |
NPI | 1144661968 |
---|---|
Provider Name | Dr. Ulanda R Davis |
First Address | Bethlehem, PA 18018-6505 |
Second Address | Bethlehem, PA 18018-6505 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2013 |
Last Update Date | 28/11/2014 |