Individual
JENNIFER A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18551 E. 160TH AVENUE, BRIGHTON, CO 80601-3295
(219) 513-8311
Mailing address
9350 CALUMET AVE, SAINT JOHN, IN 46373-9773
(219) 488-6035
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0003560
CO
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/03/2017
Last updated
10/25/2024
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