Provider Demographics
NPI:1790018588
Name:DAVIS, EMILY LAUREN (MS SLP CFY)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:LAUREN
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MS SLP CFY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:887 E CATHY DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-3639
Mailing Address - Country:US
Mailing Address - Phone:480-444-6166
Mailing Address - Fax:
Practice Address - Street 1:887 E CATHY DR
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-3639
Practice Address - Country:US
Practice Address - Phone:480-444-6166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4208488235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist