Doctor Name: | MRS. REBECCA ANN DAVIS |
NPI Number: | 1679603542 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP/L |
License Number: | 2005021971 |
Business Practice Address: | 3815 E Main St Suite B Saint Charles, IL - 601742488 |
Business Phone Number: | 6305847530 |
Business Fax Number: | 6305847762 |
Mailing Address: | 705 Dean Dr, Unit G SOUTH ELGIN |
State: | IL |
Postal Code: | 601771197 |
Phone Number: | 3145037250 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 10/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2005021971 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
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 |