Doctor Name: | SAMANTHA DAVIS |
NPI Number: | 1114347176 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | SP 0000005002 |
Business Practice Address: | 3227 Coleman Rd Paducah, KY - 420016563 |
Business Phone Number: | 2704426399 |
Business Fax Number: | 2704426300 |
Mailing Address: | 3227 Coleman Rd, PADUCAH |
State: | KY |
Postal Code: | 420016563 |
Phone Number: | 2704426399 |
Fax Number: | 2704426300 |
NPI Enumeration Date: | 04/17/2014 |
NPI Last Update Date: | 10/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP 0000005002 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |