Individual
CRYSTAL I DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
10049 E DYNAMITE BLVD, STE. 110, SCOTTSDALE, AZ 85262-3694
(480) 419-0848
Mailing address
633 W SOUTHERN AVE, UNIT 1129, TEMPE, AZ 85282-4546
(303) 709-8870
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP6965
AZ
235Z00000X
Speech-Language Pathologist
TSLP6965
AZ
Other
Enumeration date
09/29/2010
Last updated
03/26/2013
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