Healthcare Provider Details

I. General information

NPI: 1619888336
Provider Name (Legal Business Name): XENIA DAVIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 SCHOOL ST SW
WASHINGTON DC
20024-2711
US

IV. Provider business mailing address

4926 4TH ST NW
WASHINGTON DC
20011-6103
US

V. Phone/Fax

Practice location:
  • Phone: 202-388-1011
  • Fax:
Mailing address:
  • Phone: 202-423-5313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLPCF2000222
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: