Individual
BETH-ANN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
62 HARRIS DR, OCEANSIDE, NY 11572-5713
(203) 915-8276
Mailing address
62 HARRIS DR, OCEANSIDE, NY 11572-5713
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
023572-1
NY
Other
Enumeration date
04/03/2014
Last updated
12/07/2016
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