Stacey L Davis
Speech-Language Pathologist, in Carbondale, IL. Individual provider (NPI-1).
NPI number1801924196
StatusActive
Last updated in NPPESFeb 5, 2025
Details
- NPI
- 1801924196
- Entity type
- Individual (NPI-1)
- Name
- Stacey L Davis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 1, 2007
- Last updated
- Feb 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 146006880 | IL | Yes |
Practice location
2751 W Main StreetCarbondale, IL 62901-1000
Phone 618-529-5944 · Fax 618-529-5785
Mailing address
523 E Park StDu Quoin, IL 62832-2253
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All 44 Speech-Language Pathologist providers in Carbondale · All 1,335 providers in Carbondale
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