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Connie Linda Davis, M.C.D., CCC-SLP

Speech-Language Pathologist, in Tupelo, MS. Individual provider (NPI-1).

NPI number1154635803
StatusActive
Last updated in NPPESAug 4, 2010

Details

NPI
1154635803
Entity type
Individual (NPI-1)
Name
Ms. Connie Linda Davis
Credential
M.C.D., CCC-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 4, 2010
Last updated
Aug 4, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SO219MSYes

Practice location

1610 Shands Dr
Tupelo, MS 38804-1734

Phone 662-842-6033

Mailing address

1610 Shands Dr
Tupelo, MS 38804-1734

Phone 662-842-6033

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