Fareign Kira Davis, M.S. CF-SLP
Individual provider Active NPI Speech-Language Pathologist · Laurens, SC
NPI 1114150752 · NPPES record last updated Aug 31, 2009
Key facts
- NPI
- 1114150752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 4531 (SC)
- Practice address
- 301 Pinehaven Street Ext
Laurens, SC 29360-2671 - Phone
- (864) 984-6584
- NPI assigned
- Aug 31, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4531 | SC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NHC Healthcare-Laurens LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4531 | SC | Yes |
Addresses
Primary practice location
301 Pinehaven Street Ext
Laurens, SC 29360-2671
Mailing address
12207 Yellow Jasmine Dr
Simpsonville, SC 29681-3278
Other providers in Laurens, SC
- Stephen Crow
- Ashley Cruz
- Carrie Abigail Culbertson
- Theresa A Curtis
- Darrell Mitchell Davis
- Randy Davis
- Trishia Lynn Davis
- Dean B Youmans
- Dial Sullivan Health Specialists, LLC
- Dial Sullivan Health Specialists, LLC
All providers in Laurens, SC · Speech-Language Pathologist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.