Healthcare Provider Details

I. General information

NPI: 1356277263
Provider Name (Legal Business Name): CHLOE FAITH DAVIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 PHILADELPHIA ST
AMES IA
50010-8768
US

IV. Provider business mailing address

103 WALNUT ST
LEWIS IA
51544-5566
US

V. Phone/Fax

Practice location:
  • Phone: 515-232-7220
  • Fax: 515-232-3834
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: