Individual
DORE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1215 N BEAVER ST, FLAGSTAFF, AZ 86001
(928) 213-6359
Mailing address
612 N LOCUST ST, FLAGSTAFF, AZ 86001-3332
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP8817
AZ
Other
Enumeration date
02/24/2014
Last updated
07/19/2018
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