DR. ROWENA CARMELA FANTASIA-DAVIS


Address: 480 Pathfinder Dr, Birdsboro, PA 19508-9489
Phone: 6107794615

DR. ROWENA CARMELA FANTASIA-DAVIS (NPI# 1902868318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902868318
Entity Type Individual
Full Name DR. ROWENA CARMELA FANTASIA-DAVIS
Credential PH.D.
Practice Address 480 Pathfinder Dr
Birdsboro
PA 19508-9489
Practice Telephone 6107794615
Practice Fax Number 6107794661
Mailing Telephone 6107794615
Mailing Fax Number 6107794661
Enumeration Date 2006-04-03
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
PS007993L PA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA VALUE OPTIONS PIN 464757 01
PA CAPBC PIN 01113102 01

Office Location

Street Address 480 PATHFINDER DR
City BIRDSBORO
State PA
Zip Code 19508-9489

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1881747731 Enlow Chiropractic Associates Chiropractor 10 Cardinal Dr, Birdsboro, PA 19508 2007-01-22
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

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Competitor

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City BIRDSBORO
Zip Code 19508

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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