Teresa Michelle Davis, CFY-SLP
Individual provider Active NPI Speech-Language Pathologist · Barbourville, KY
NPI 1194044628 · NPPES record last updated May 24, 2010
Key facts
- NPI
- 1194044628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 10-022 (KY)
- Practice address
- 110 Johnson LN
Barbourville, KY 40906-1321 - Phone
- (606) 546-5109
- Fax
- (606) 546-4199
- NPI assigned
- May 24, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10-022 | KY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 10-022 | KY | Yes |
Addresses
Primary practice location
110 Johnson LN
Barbourville, KY 40906-1321
Mailing address
110 Johnson LN
Barbourville, KY 40906-1321
Phone (606) 546-5109
Other providers in Barbourville, KY
- Cumberland Foot and Ankle Center
- Kourtney Elise Current
- Kristina Cobb Davies
- Heather Nicole Davis
- Savannah Marie Davis
- Dialysis Specialists of Barbourville, Inc.
- Steven R Dickerson
- Donavan, PSC
- Elizabeth Kathleen Lewgood Douglas
- Sarah Doyle
All providers in Barbourville, KY · Speech-Language Pathologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2010. 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.