Provider Demographics
NPI:1356545164
Name:DAVEE, VERALYN (MA, CCC-A)
Entity type:Individual
Prefix:MS
First Name:VERALYN
Middle Name:
Last Name:DAVEE
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06776-3003
Mailing Address - Country:US
Mailing Address - Phone:860-354-6575
Mailing Address - Fax:860-354-7181
Practice Address - Street 1:3 CHURCH ST
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06776-3003
Practice Address - Country:US
Practice Address - Phone:860-354-6575
Practice Address - Fax:860-354-7181
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000375231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT061411413OtherFED TAX ID