Doctor Name: | SANDRA BARRALL DAVIS |
NPI Number: | 1164738704 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | SL002397L |
Business Practice Address: | 58 Neitz Rd Northumberland, PA - 17857 |
Business Phone Number: | 5704732363 |
Business Fax Number: | |
Mailing Address: | 93 Shakespeare Rd, CATAWISSA |
State: | PA |
Postal Code: | 178208234 |
Phone Number: | 5703567461 |
Fax Number: | |
NPI Enumeration Date: | 08/20/2010 |
NPI Last Update Date: | 08/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL002397L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |