Provider Demographics
NPI:1538390109
Name:DAVIS, SHAYNA EDEN (PSYD, RPS)
Entity type:Individual
Prefix:DR
First Name:SHAYNA
Middle Name:EDEN
Last Name:DAVIS
Suffix:
Gender:F
Credentials:PSYD, RPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 N CUYAMACA ST
Mailing Address - Street 2:206
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-1865
Mailing Address - Country:US
Mailing Address - Phone:619-449-8703
Mailing Address - Fax:
Practice Address - Street 1:900 N CUYAMACA ST
Practice Address - Street 2:206
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-1865
Practice Address - Country:US
Practice Address - Phone:619-449-8703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-30
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPS2009038101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health