Healthcare Provider Details

I. General information

NPI: 1164659694
Provider Name (Legal Business Name): DONIELLE C. D. JANOW PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DONIELLE C. D. DAVIES PSY.D.

II. Dates (important events)

Enumeration Date: 06/11/2009
Last Update Date: 03/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

644 UNIVERSITY BLVD
HARRISONBURG VA
22801-3750
US

IV. Provider business mailing address

PO BOX 1430
HARRISONBURG VA
22803-1430
US

V. Phone/Fax

Practice location:
  • Phone: 540-564-5960
  • Fax: 540-433-4338
Mailing address:
  • Phone: 540-564-5636
  • Fax: 540-433-4123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810003879
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: