Individual
TINA MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
2720 CHARLES TOWN RD, MARTINSBURG, WV 25405-5626
(301) 988-5591
(301) 988-5591
Mailing address
9 VESTAL GAP WAY, MARTINSBURG, WV 25404-7691
(301) 988-5591
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1829
WV
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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