Provider Demographics
NPI:1144661968
Name:DAVIS, ULANDA R (PHD, ND)
Entity type:Individual
Prefix:DR
First Name:ULANDA
Middle Name:R
Last Name:DAVIS
Suffix:
Gender:F
Credentials:PHD, ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 241
Mailing Address - Street 2:
Mailing Address - City:SCHAEFFERSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17088-0241
Mailing Address - Country:US
Mailing Address - Phone:484-626-5024
Mailing Address - Fax:610-865-1105
Practice Address - Street 1:426 N MARKET ST UNIT #5
Practice Address - Street 2:
Practice Address - City:MYERSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17067
Practice Address - Country:US
Practice Address - Phone:484-626-5024
Practice Address - Fax:610-865-1105
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-09
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional