Individual provider Active NPI

Mary Strickland Davis, PHD, CCC-SLP

  • Speech-Language Pathologist
  • West Columbia, SC
National Provider Identifier
1407892227
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2388 Issued in SC
Practice address
715 9TH St
Lexington County School District Two Special Services
West Columbia, SC 29169-7169
Phone
(803) 796-4708
Fax
(803) 739-4063
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2388 SC Primary

Addresses

Primary practice location

715 9TH St
Lexington County School District Two Special Services
West Columbia, SC 29169-7169

Mailing address

715 9TH St
Lexington County School District Two Special Services
West Columbia, SC 29169-7169
Phone (803) 796-4708

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1407892227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 9TH ST",
            "address_2": "LEXINGTON COUNTY SCHOOL DISTRICT TWO SPECIAL SERVICES",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291697169",
            "telephone_number": "803-796-4708",
            "fax_number": "803-739-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 9TH ST",
            "address_2": "LEXINGTON COUNTY SCHOOL DISTRICT TWO SPECIAL SERVICES",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291697169",
            "telephone_number": "803-796-4708",
            "fax_number": "803-739-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARY",
        "middle_name": "STRICKLAND",
        "credential": "PHD, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "2388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.