# DIANE DAVIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1952441149
- **Gender:** F
- **Credential:** MS CCC SLP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | SA2350 | FL | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 04/29/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10620901 | CITURS INDIVIDUAL NUM NPR | FL |
| 01 | — | 10620902 | CITRUS INDIVIDUAL NUM SH | FL |
| 01 | — | 215753 | AMERIGROUP NUMBER | FL |
| 01 | — | 282700 | AVMED | FL |
| 05 | — | 880842200 | — | FL |
| 01 | — | S1760 | BLUE CROSS BLUE SHIELD | FL |