Provider Demographics
NPI:1518277318
Name:DAVIS, PATRICIA (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4121 LITTLE SAVANNAH RD
Mailing Address - Street 2:RM 132
Mailing Address - City:CULLOWHEE
Mailing Address - State:NC
Mailing Address - Zip Code:28723-9646
Mailing Address - Country:US
Mailing Address - Phone:828-227-7251
Mailing Address - Fax:828-227-3312
Practice Address - Street 1:4121 LITTLE SAVANNAH RD
Practice Address - Street 2:RM 132
Practice Address - City:CULLOWHEE
Practice Address - State:NC
Practice Address - Zip Code:28723-9646
Practice Address - Country:US
Practice Address - Phone:828-227-7251
Practice Address - Fax:828-227-3312
Is Sole Proprietor?:No
Enumeration Date:2010-10-14
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9225235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist