Individual
DEVON CLANCY DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
8681 A C SKINNER PKWY APT 507, JACKSONVILLE, FL 32256-0844
(904) 703-1789
Mailing address
8681 A C SKINNER PKWY APT 507, JACKSONVILLE, FL 32256-0844
(904) 703-1789
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA-15719
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14092523
AMERICAN SPEECH-LANGUAGE AND HEARING ASSOCIATION
—
01
—
SA-15719
FLORIDA DEPARTMENT OF HEALTH LICENCE NUMBER
FL
Enumeration date
10/04/2017
Last updated
10/04/2017
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