Individual
MRS. CAROLE ANN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPPECH PATHOLOGIST
Contact information
Practice address
47 HUMPHREY DR, SYOSSET, NY 11791-4022
(631) 549-9294
(631) 549-9294
Mailing address
21 GROUND PINE CT, DIX HILLS, NY 11746-5701
(631) 549-9294
(631) 549-9294
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001639-1
NY
Other
Enumeration date
02/18/2007
Last updated
07/08/2007
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