Individual
HEIDI DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 VIKING DR, BOSSIER CITY, LA 71111-2104
(318) 549-6119
Mailing address
461 DOGWOOD SOUTH LN, HAUGHTON, LA 71037-8552
(318) 560-7161
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7059
LA
235Z00000X
Speech-Language Pathologist
—
LA
Other
Enumeration date
04/15/2022
Last updated
05/15/2024
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