Individual
MICHAEL ALLEN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, CCC/SLP
Contact information
Practice address
230 MAIN ST, NORWAY, ME 04268-5921
(207) 743-9701
Mailing address
55 PLEASANT ST, NORWAY, ME 04268-5058
(207) 743-9701
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP763
ME
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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