Provider Demographics
NPI:1013039312
Name:DAVIDS, FRANCINE ELISSA (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:FRANCINE
Middle Name:ELISSA
Last Name:DAVIDS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MISS
Other - First Name:FRANCINE
Other - Middle Name:ELISSA
Other - Last Name:PIAZZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6115 E SURREY AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-3844
Mailing Address - Country:US
Mailing Address - Phone:480-443-9568
Mailing Address - Fax:
Practice Address - Street 1:WASHINGTON ELEMENTARY SCHOOL DISTRICT
Practice Address - Street 2:4650 W. SWEETWATER AVE
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85304
Practice Address - Country:US
Practice Address - Phone:602-347-2600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP0550251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ558893Medicaid