Doctor Name: | MRS. VIRGINIA RENEE DAVIS |
NPI Number: | 1174964316 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., SLP |
License Number: | |
Business Practice Address: | 711 Forest Club Dr Apt 215 Wellington, FL - 334147908 |
Business Phone Number: | 4173994691 |
Business Fax Number: | |
Mailing Address: | 711 Forest Club Dr Apt 215, WELLINGTON |
State: | FL |
Postal Code: | 334147908 |
Phone Number: | 4173994691 |
Fax Number: | |
NPI Enumeration Date: | 07/16/2013 |
NPI Last Update Date: | 07/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |