Individual
BASIL ASHLEY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
383 ROLLING RIDGE DR, STATE COLLEGE, PA 16801-7679
(814) 689-1911
Mailing address
8850 OLD ERIE PIKE, WEST DECATUR, PA 16878-8739
(814) 765-4201
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL009907
PA
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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