Vicki Jo Davis
Individual provider Active NPI Speech-Language Pathologist · Levelland, TX
NPI 1508532102 · NPPES record last updated Aug 23, 2021
Key facts
- NPI
- 1508532102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 34032 (TX)
- Practice address
- 704 11TH St
Levelland, TX 79336-5400 - Phone
- (806) 535-0109
- NPI assigned
- Aug 23, 2021
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 34032 | TX | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 34032 | TX | Yes |
Addresses
Primary practice location
704 11TH St
Levelland, TX 79336-5400
Mailing address
704 11TH St
Levelland, TX 79336-5400
Phone (806) 535-0109
Other providers in Levelland, TX
- Pamala Joyce Cooper
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- Teresa A Dailey
- Baylee Davis
- Preston Warren Deshan
- Kim Dewbre
- Tamra Dawn Dewbre
- Chelsey Dobrovolny
- Paul Charles Dunn
All providers in Levelland, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2021. 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.