Individual
MRS. JAMIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 W UNION AVE, WEST LAFAYETTE, OH 43845-1150
(740) 502-5856
Mailing address
22695 STATE ROUTE 751, WEST LAFAYETTE, OH 43845-9737
(740) 502-5856
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 10541
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SP.10541
—
OH
Enumeration date
10/07/2014
Last updated
10/07/2014
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