Anne Devine Davidson, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1 Lucinda Ave
Northern Illinois Univ. Speech-Language-Hearing Clinic
Dekalb, IL 60115-2899

Phone

(815) 753-1483

Fax

(815) 753-1664

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841380987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 JENNIFER LN",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601151016",
            "telephone_number": "815-754-4058",
            "fax_number": "815-753-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LUCINDA AVE",
            "address_2": "NORTHERN ILLINOIS UNIV. SPEECH-LANGUAGE-HEARING CLINIC",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152899",
            "telephone_number": "815-753-1483",
            "fax_number": "815-753-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "ANNE",
        "middle_name": "DEVINE",
        "name_prefix": "Ms.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Elizabeth Cully, M.S., CF.-SLP
• Crystal Anne Culver
• Trena Cummings, RN
• Kimberly Cyr, RPH
• David Manuel MD SC (Gastrointestinal Health Institute)
• Dori De la Cruz, LCSW
• Ariana De Neveu, BCBA
• Mahum Ayaz Deamantopulos, LSW
• Katherine Dean, RDN
• Brooke Elizabeth Deeringer

• Speech-Language Pathologist in Dekalb, IL
• Providers in Dekalb, IL by specialty
• Speech-Language Pathologist in Illinois

• 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.