Individual
SAMANTHA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3227 COLEMAN RD, PADUCAH, KY 42001-6563
(270) 442-6399
(270) 442-6300
Mailing address
3227 COLEMAN RD, PADUCAH, KY 42001-6563
(270) 442-6399
(270) 442-6300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPLPA00193918
KY
235Z00000X
Speech-Language Pathologist
SP 0000005002
TN
Other
Enumeration date
04/17/2014
Last updated
10/27/2014
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