Individual
MS. LYA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS SLP
Contact information
Practice address
8111 TISWELL DRIVE, ALEXANDRIA, VA 22306
(703) 360-4000
Mailing address
6034 RICHMOND HWY APT 608, ALEXANDRIA, VA 22303-2112
(516) 582-0171
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005223
VA
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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