Individual
DENISE NMI DAVIS-PEDRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1260 BIG VALLEY DR, COLORADO SPRINGS, CO 80919-1015
(719) 440-8074
(719) 578-2139
Mailing address
1260 BIG VALLEY DR, COLORADO SPRINGS, CO 80919-1015
(719) 440-8074
(719) 578-2139
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00615450
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07615453
—
CO
Enumeration date
05/08/2007
Last updated
07/08/2007
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