Provider Demographics
NPI:1932367133
Name:DURFEE, DAVID MILO (MS, CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:MILO
Last Name:DURFEE
Suffix:
Gender:M
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 1:220 N PARKWOOD RD
Mailing Address - Street 2:
Mailing Address - City:PAYSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85541-4354
Mailing Address - Country:US
Mailing Address - Phone:928-468-8416
Mailing Address - Fax:
Practice Address - Street 1:107 E LONE PINE DR
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:AZ
Practice Address - Zip Code:85541-5558
Practice Address - Country:US
Practice Address - Phone:928-474-6896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-26
Last Update Date:2008-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP4686235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist