Individual
MISS ELAINE BLANCHE DAVENPORT
Active
Individual
MISS ELAINE BLANCHE DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. SPEECH PATHOLO
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1274
NE
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47065477700
—
NE
Enumeration date
12/10/2012
Last updated
01/26/2023
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