Organization
COASTAL COGNITION AND LANGUAGE CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANSLEY DAVIS PHD, CCC-SLP (OWNER/FOUNDER)
(904) 257-6082
Entity
Organization
Contact information
Practice address
1148 N MAIN ST, JACKSONVILLE, FL 32206
(904) 257-6082
Mailing address
12529 YELLOW BLUFF RD STE 6, JACKSONVILLE, FL 32226-3813
(904) 257-6082
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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