Organization
DAVEY PROFESSIONAL SERVICES LLC
Active
Other names
Shine Interactions LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRY KAY DAVEY SLP (SPEECH PATHOLOGIST)
(618) 541-2040
Entity
Organization
Contact information
Practice address
3454 VICKSBURG DR, EDWARDSVILLE, IL 62025
(618) 541-2040
(618) 692-0270
Mailing address
3454 VICKSBURG DRIVE, EDWARDSVILLE, IL 62025
(618) 541-2040
(618) 692-0270
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.007858
IL
252Y00000X
Early Intervention Provider Agency
146.007858
IL
Other
Enumeration date
05/15/2016
Last updated
01/10/2018
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