Individual provider · NPI-1

Lauren Rebecca Davis, CCC-SLP

Speech-Language Pathologist, · Buford, GA

NPI number1508198532
StatusActive
Last updated in NPPESFeb 1, 2010

Details

NPI
1508198532
Entity type
Individual (NPI-1)
Name
Lauren Rebecca Davis
Credential
CCC-SLP
Sex
Female
Sole proprietor
No
Enumeration date
Feb 1, 2010
Last updated
Feb 1, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SLP006801GAYes

Practice location

2040 Misty Oaks Dr
Buford, GA 30519-8600

Phone 770-656-4370

Mailing address

2040 Misty Oaks Dr
Buford, GA 30519-8600

Phone 770-656-4370

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