Provider Demographics
NPI:1902337785
Name:DAVEY, CARLA MAE (PHD)
Entity Type:Individual
Prefix:DR
First Name:CARLA
Middle Name:MAE
Last Name:DAVEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 E CAMPUS MALL RM 7
Mailing Address - Street 2:UNIVERSITY HEALTH SERVICES
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53715-1740
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:333 E CAMPUS MALL RM 7
Practice Address - Street 2:UNIVERSITY HEALTH SERVICES
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53715-1740
Practice Address - Country:US
Practice Address - Phone:608-265-5600
Practice Address - Fax:608-262-9160
Is Sole Proprietor?:No
Enumeration Date:2017-03-23
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3075-57103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling