Individual
PAUL JOHN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
11329 POINTE SOUTH CT APT C, SAINT LOUIS, MO 63128-1038
(314) 365-1582
Mailing address
11329 POINTE SOUTH CT APT C, SAINT LOUIS, MO 63128-1038
(314) 365-1582
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
116149
MO
Other
Enumeration date
07/17/2024
Last updated
07/18/2024
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