Provider Demographics
NPI:1437390960
Name:DAVIES-VENN, EVELYN EMO (MS, AUD)
Entity Type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:EMO
Last Name:DAVIES-VENN
Suffix:
Gender:F
Credentials:MS, AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4033 TALBOT RD SO.
Mailing Address - Street 2:#230
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055
Mailing Address - Country:US
Mailing Address - Phone:425-656-4200
Mailing Address - Fax:425-656-4258
Practice Address - Street 1:4033 TALBOT RD SO.
Practice Address - Street 2:#230
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055
Practice Address - Country:US
Practice Address - Phone:425-656-4200
Practice Address - Fax:425-656-4258
Is Sole Proprietor?:No
Enumeration Date:2009-03-12
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALD60061775231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter