Individual
HEATHER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 PIONEER WAY, MAGEE, MS 39111-5501
(866) 216-9285
Mailing address
6020 WARDEN RD, STE 230, SHERWOOD, AR 72120-6068
(501) 392-9180
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
S3836
MS
235Z00000X
Speech-Language Pathologist
Primary
SP3987
AR
Other
Enumeration date
02/03/2014
Last updated
02/28/2020
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