Mary Jayne Davison, M.A., SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP9513 Issued in CA

Practice address

4811 Eureka Ave
Suite a
Yorba Linda, CA 92886-3368

Phone

(949) 599-0218

NPI assigned

Dec 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Newport Language and Speech Centers

  • Speech-Language Pathologist
  • Mission Viejo, CA
  • NPI 1861567299
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669531158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1992 W OAKLAND AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925452409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 EUREKA AVE",
            "address_2": "SUITE A",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863368",
            "telephone_number": "949-599-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVISON",
        "first_name": "MARY JAYNE",
        "credential": "M.A., SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP9513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Dang, DDS, MS
• Ngoc Han Le Dang
• Nicole Daniels
• Chris Eric Davenport, M.D.
• David R. Joss,MD a California Professional Corporation (Joss Medical Group)
• Dean F. Murphy, MD., Inc
• Diana Deangelo, M.S., MFTI
• Carrie R Delaurie
• Gregg Denicola, MD
• Adriana Dennick

• Speech-Language Pathologist in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.