Trinity Davis
Individual provider Active NPI Speech-Language Pathologist · Memphis, MO
NPI 1356767446 · NPPES record last updated Mar 13, 2014
Key facts
- NPI
- 1356767446
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2013034814 (MO)
- Practice address
- RR 2 Box 26
Memphis, MO 63555-9504 - Phone
- (660) 465-7587
- NPI assigned
- Mar 13, 2014
- 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 |
|---|---|---|---|
| 2013034814 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2013034814 | MO | Yes |
Addresses
Primary practice location
RR 2 Box 26
Memphis, MO 63555-9504
Mailing address
RR 2 Box 26
Memphis, MO 63555-9504
Phone (660) 465-7587
Other providers in Memphis, MO
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- Lori A Claypool
- Jami Dalton
- Kelsey M Davis-Humes
- Jeffrey D Davis
- Marilyn Lee Day
- Elliot M Deblieck
- Harlo Lee Donelson
- Jayme Nicholle Engelbrecht
- Seth Michael Fitzgerald
All providers in Memphis, MO · Speech-Language Pathologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2014. 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.