Rachel Davis, MA, CCC/SLP

Individual provider Active NPI Speech-Language Pathologist · Elkhorn City, KY

NPI 1750652913 · NPPES record last updated Jan 19, 2012

Key facts

NPI
1750652913
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
KY-3604 (KY)
Practice address
945 W Russell St
Elkhorn City, KY 41522-9032
Phone
(606) 754-4134
NPI assigned
Jan 19, 2012
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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
KY-3604KYMDSpeech-Language Pathologist
2202005875VAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X KY-3604 KY Yes
Speech-Language Pathologist 235Z00000X 2202005875 VA

Addresses

Primary practice location

945 W Russell St
Elkhorn City, KY 41522-9032

Mailing address

PO Box 298
Grundy, VA 24614-0298
Phone (276) 935-7207

Other providers in Elkhorn City, KY

All providers in Elkhorn City, KY · Speech-Language Pathologist in Kentucky

Sources for this page

Verify at the official NPI Registry.