Individual
ALLYNDA HEATHER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
5165 CANAL ST, MILTON, FL 32570-2256
(850) 623-4054
Mailing address
5165 CANAL ST, MILTON, FL 32570-2256
(850) 623-4054
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 9176
FL
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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