Individual
CANDICE LEE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
7607 BEECH SPRING CT, LOUISVILLE, KY 40241-6410
(502) 742-7853
Mailing address
7607 BEECH SPRING CT, LOUISVILLE, KY 40241-6410
(502) 742-7853
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003142A
IN
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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