Active NPIIndividual providerSole proprietor

Dea A Davis, MS, CCC-SLP

Speech-Language Pathologist, in Jamaica Plain, Massachusetts

NPI Number1760663264
Practice location
555 Amory St, Jamaica Plain, MA 02130-2652
Fax
—
Last updated
November 26, 2007

Dea Andrea Davis is a Speech-Language Pathologist, based in Jamaica Plain, MA. Dea Andrea Davis practices in Jamaica Plain, MA and has the professional credentials of MS, CCC-SLP. The NPI Number for Dea Andrea Davis is 1760663264 and holds a License No. 6210 (MA). The current practice location address for Dea Andrea Davis is 555 Amory St, Jamaica Plain, MA 02130-2652 and can be reached out via phone at 617-383-6522.

Provider Profile Details

NPI Number
1760663264
Provider Name
Dea Andrea Davis
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
555 Amory St, Jamaica Plain, MA 02130-2652
Phone Number
617-383-6522
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 26, 2007
Last Update Date
November 26, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
555 Amory St
Jamaica Plain, MA 02130-2652
Zip
02130-2652
Phone Number
617-383-6522
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
555 Amory St
Jamaica Plain, MA 02130-2652
City
Jamaica Plain
State
MA
Zip
02130-2652
Phone Number
617-383-6522

License Information

License Number
6210
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dea A Davis, MS, CCC-SLP?

The NPI number of Dea A Davis, MS, CCC-SLP is 1760663264. It was assigned on November 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Dea A Davis, MS, CCC-SLP?

Dea A Davis, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 6210.

Where does Dea A Davis, MS, CCC-SLP practice?

The practice location is 555 Amory St, Jamaica Plain, MA 02130-2652. The office can be reached at 617-383-6522 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760663264 directly on the NPPES registry website.

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