Provider Demographics
NPI:1477298206
Name:SKOCY, DAVID RICHARD III
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:RICHARD
Last Name:SKOCY
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:TREY
Other - Middle Name:
Other - Last Name:SKOCY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4701 DEVON SPRING WAY
Mailing Address - Street 2:#608
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6801 MIDDLEBROOK PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-1152
Practice Address - Country:US
Practice Address - Phone:865-588-7661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-05
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist