Individual
MARIA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH LANGUAGE PATH
Contact information
Practice address
11 SPRUCE LN, CAPE ELIZABETH, ME 04107-2910
(908) 963-7172
Mailing address
11 SPRUCE LN, CAPE ELIZABETH, ME 04107-2910
(908) 963-7172
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
104999
TX
235Z00000X
Speech-Language Pathologist
SP2525
ME
235Z00000X
Speech-Language Pathologist
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP2525
SPEECH LANGUAGE PATHOLOGY LICENSE
ME
Enumeration date
05/17/2010
Last updated
05/08/2020
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