Provider Demographics
NPI:1861136202
Name:DAVY, DELROY OLIVER (PEER SUPPORT)
Entity type:Individual
Prefix:
First Name:DELROY
Middle Name:OLIVER
Last Name:DAVY
Suffix:
Gender:M
Credentials:PEER SUPPORT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20465 W DANIEL PL
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85396-3648
Mailing Address - Country:US
Mailing Address - Phone:480-487-2244
Mailing Address - Fax:
Practice Address - Street 1:20465 W DANIEL PL
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85396-3648
Practice Address - Country:US
Practice Address - Phone:480-487-2244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-22
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist