Davey Professional Services LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.007858 Issued in IL

Legal business name

DAVEY PROFESSIONAL SERVICES LLC

Practice address

3454 Vicksburg Dr
Edwardsville, IL 62025

Phone

(618) 541-2040

Fax

(618) 692-0270

NPI assigned

May 15, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Terry Kay Davey, SLPNPI 1417137092

Title

Speech Pathologist

Phone

(618) 541-2040

Specialties & licenses 2

Addresses

Other names 1

• Shine Interactions LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terry Kay Davey, CCC-SLP

  • Speech-Language Pathologist
  • Edwardsville, IL
  • NPI 1417137092
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1053768523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3454 VICKSBURG DRIVE",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "62025",
            "telephone_number": "618-541-2040",
            "fax_number": "618-692-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 VICKSBURG DR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "62025",
            "telephone_number": "618-541-2040",
            "fax_number": "618-692-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVEY PROFESSIONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-15",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "DAVEY",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "618-541-2040",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.007858",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "146.007858",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shine Interactions LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Victoria Cullen, MSW
• Thea Ranee Cyr, RN
• Gerardo D'Amato, RBT
• Jenna Dallman
• David Darrow, SRNA
• Terry Kay Davey, CCC-SLP
• Laurin Leighann Davidson
• Jeff Lee Davie, D.C.
• Brandy Lee Davis
• Elizabeth Ann Dawson, D.O.

• Speech-Language Pathologist in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.