Individual
MS. KATHLEEN ANNE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.C.C./SLP
Contact information
Practice address
89 ACCESS RD, SUITE 28, NORWOOD, MA 02062-5229
(617) 823-9079
(781) 762-3122
Mailing address
594 NAHATAN ST, NORWOOD, MA 02062-1445
(781) 762-1080
(781) 762-3122
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2214
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0377856
—
MA
01
—
469002
TUFTS HEALTH CARE
MA
01
—
626560
HARVARD PILGRIM HEALTHCARE
MA
01
—
SP0087
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/08/2008
Last updated
12/08/2008
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