| Doctor Name: | JACQUELINE MELISSA SUMNER DAVIS |
| NPI Number: | 1295006245 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., CCC-SLP |
| License Number: | SA12097 |
| Business Practice Address: | 1485 37th St Suite 111 Vero Beach, FL - 329606500 |
| Business Phone Number: | 7722576962 |
| Business Fax Number: | 7723650499 |
| Mailing Address: | 326 15th Ave, VERO BEACH |
| State: | FL |
| Postal Code: | 329622749 |
| Phone Number: | 7722576962 |
| Fax Number: | 7723650499 |
| NPI Enumeration Date: | 01/23/2012 |
| NPI Last Update Date: | 04/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA12097 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| 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 |