Dodie Davidson

Individual provider Active NPI Speech-Language Pathologist · Scotia, NY

NPI 1427367697 · NPPES record last updated Oct 5, 2010

Key facts

NPI
1427367697
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
011991-1 (NY)
Practice address
300 Wren St
Scotia, NY 12302-1248
Phone
(518) 382-1282
NPI assigned
Oct 5, 2010
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)
No

State licenses

LicenseStateTypeSpecialty
011991-1NYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 011991-1 NY Yes

Addresses

Primary practice location

300 Wren St
Scotia, NY 12302-1248

Mailing address

300 Wren St
Scotia, NY 12302-1248
Phone (518) 382-1282

Other providers in Scotia, NY

All providers in Scotia, NY · Speech-Language Pathologist in New York

Sources for this page

Verify at the official NPI Registry.