Individual
MRS. ANDREA DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
298 TARA WAY, ATHENS, GA 30606-2460
(478) 804-2070
(706) 549-4725
Mailing address
298 TARA WAY, ATHENS, GA 30606-2460
(478) 804-2070
(706) 549-4725
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005618
GA
Other
Enumeration date
10/04/2006
Last updated
03/08/2011
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