Michelle A. Davis, M.A. CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Bad Axe, MI

NPI 1356573596 · NPPES record last updated Dec 21, 2023

Key facts

NPI
1356573596
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
7101000289 (MI)
Practice address
1167 E Hopson St
Bad Axe, MI 48413-1555
Phone
(989) 269-9983
NPI assigned
Aug 21, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7101000289 MI Yes

Addresses

Primary practice location

1167 E Hopson St
Bad Axe, MI 48413-1555

Mailing address

845 Circle Dr
Bad Axe, MI 48413-9103
Phone (899) 600-2476

Other providers in Bad Axe, MI

All providers in Bad Axe, MI · Speech-Language Pathologist in Michigan

Sources for this page

Verify at the official NPI Registry.