Individual
MRS. MEGAN COKER DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2210 E MANOR DR, FAYETTEVILLE, AR 72701-2640
(832) 876-7812
Mailing address
2210 E MANOR DR, FAYETTEVILLE, AR 72701-2640
(832) 876-7812
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
106852
TX
235Z00000X
Speech-Language Pathologist
Primary
202569
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75-1282040
—
TX
Enumeration date
06/27/2011
Last updated
09/23/2024
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