Individual
ANGELIQUE DAVISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,CCC/SLP
Contact information
Practice address
1001 LOUISIANA AVE STE 402, APARTMENT # 301, CORPUS CHRISTI, TX 78404-2856
(361) 853-0488
(361) 853-0489
Mailing address
2002 AIRLINE RD, APARTMENT # 301, CORPUS CHRISTI, TX 78412-4600
(361) 853-0488
(361) 853-0489
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
108022
TX
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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