MEDICARE: ERIN DAVIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1407696826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN DAVIS

Provider Business Mailing Address
First Line	:	5000 LIBBIE MILL EAST BLVD APT 413
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23230-2170
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4110 E PARHAM RD STE 101
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23228-2776
Country	:	US
Telephone Number	:	804-672-8588
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2024
Last Update Date	:	05/31/2024

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Directions to “ ERIN DAVIS ” Practice Location

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