Provider Demographics
NPI:1316323199
Name:WESTERMAN, DAYNNA
Entity type:Individual
Prefix:
First Name:DAYNNA
Middle Name:
Last Name:WESTERMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DAYNNA
Other - Middle Name:
Other - Last Name:WESTERMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BA
Mailing Address - Street 1:901 MARTIN ST
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-4090
Mailing Address - Country:US
Mailing Address - Phone:931-503-4600
Mailing Address - Fax:931-503-4620
Practice Address - Street 1:901 MARTIN ST
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-4090
Practice Address - Country:US
Practice Address - Phone:931-503-4600
Practice Address - Fax:931-503-4620
Is Sole Proprietor?:No
Enumeration Date:2015-08-04
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor