Individual
ROANNA LYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC/SLP
Contact information
Practice address
11177 W 8TH AVE, LAKEWOOD, CO 80215-5575
(303) 462-6648
Mailing address
11177 W 8TH AVE, LAKEWOOD, CO 80215-5575
(303) 462-6648
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01111214
ASHA
—
01
—
SLP-0000280
DORA
CO
Enumeration date
10/17/2017
Last updated
06/16/2018
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