Davis, Deatria

Davis, Deatria is an sole proprietor health care provider with primary practice located at 2600 S. El Camino Real , San Mateo CA 94403. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Other Service Providers / Case Manager/Care Coordinator, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Davis, Deatria can be contacted via phone (209) 752-1965.

Contact Information

Primary practice address
2600 S. El Camino Real San Mateo CA 94403
Phone: (209) 752-1965
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1659641835
LBN Legal business name Davis, Deatria
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2012
Last updated Jul 20th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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