Doctor Name: | GINGER LEE DAVIS |
NPI Number: | 1144428087 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | KY 3010 |
Business Practice Address: | 200 Norfleet Dr Somerset, KY - 425011952 |
Business Phone Number: | 6066785104 |
Business Fax Number: | |
Mailing Address: | 1180 Ferry Road, SOMERSET |
State: | KY |
Postal Code: | 42503 |
Phone Number: | 6064519181 |
Fax Number: | |
NPI Enumeration Date: | 07/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | KY 3010 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
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 |