Individual
MS. CHRISTINE MARIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED CCC-SLP
Contact information
Practice address
4157 S HARVARD AVE STE 117, TULSA, OK 74135-2606
(918) 712-7868
Mailing address
1518 E 17TH PL, TULSA, OK 74120-7202
(918) 902-9738
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3133
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200024920A
—
OK
Enumeration date
10/27/2006
Last updated
01/03/2012
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