| Doctor Name: | DR. CECELIA DAVIDSON |
| NPI Number: | 1174823744 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 005806-1 |
| Business Practice Address: | 3942 E Tremont Ave Bronx, NY - 104652902 |
| Business Phone Number: | 3473988358 |
| Business Fax Number: | 3473988359 |
| Mailing Address: | 380 Malcolm X Blvd, Apt. 3c NEW YORK |
| State: | NY |
| Postal Code: | 100272381 |
| Phone Number: | 9149122329 |
| Fax Number: | |
| NPI Enumeration Date: | 10/28/2010 |
| NPI Last Update Date: | 08/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 005806-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| 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 |