Individual
ASHLEY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4105 N WALNUT ST, MUNCIE, IN 47303-5904
(765) 587-5244
Mailing address
4105 N WALNUT ST, MUNCIE, IN 47303-5904
(765) 587-5244
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005850A
IN
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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