Julianne D Davis, MA
Individual provider Active NPI Speech-Language Pathologist · Wallace, NC
NPI 1407809502 · NPPES record last updated Feb 11, 2008
Key facts
- NPI
- 1407809502
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 5349 (NC)
- Practice address
- 312 S Graham St
Wallace, NC 28466-1440 - Phone
- (910) 285-9244
- NPI assigned
- May 18, 2006
- 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5349 | NC | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5349 | NC | Yes |
Addresses
Primary practice location
312 S Graham St
Wallace, NC 28466-1440
Mailing address
312 S Graham St
Wallace, NC 28466-1440
Phone (910) 285-9244
Other providers in Wallace, NC
- Coastline Care Inc
- Community Care Support Services Inc
- Continuum Care Corporation
- Gary Stephen Crawford
- Daniel M Ricci M.D. P.a.
- Anthony Kenneth Defilippis
- Madison Deloney
- Joshua P Denny
- Marisha Jonelle Devone
- DGH-Ech Partnership LLC
All providers in Wallace, NC · Speech-Language Pathologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2008. 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.