Individual
JOHN DAVANZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
900 BELLS CREEK CT, CHESAPEAKE, VA 23322-7426
(757) 286-4861
Mailing address
900 BELLS CREEK CT, CHESAPEAKE, VA 23322-7426
(757) 286-4861
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002969
VA
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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