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NPI Code Detail

MEDICARE: SYLVIA DAVIS PHD

MEDICARE:   SYLVIA  DAVIS  PHD
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
1235Z00000XSpeech-Language Pathologist793LA

General Provider Information

NPI Number : 1073681763
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYLVIA DAVIS PHD
Provider Business Mailing Address
First Line : PO BOX 62600
Second Line : DEPARTMENT 1268
City : NEW ORLEANS
State : LA
Zip : 70162-2600
Country : US
Telephone Number : 504-568-4250
Fax Number : 504-568-4249
Provider Business Practice Location Address
First Line : 1900 GRAVIER ST
Second Line : 9TH FLOOR
City : NEW ORLEANS
State : LA
Zip : 70112-2262
Country : US
Telephone Number : 504-568-4250
Fax Number : 504-568-4249
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2006
Last Update Date : 07/08/2007

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Directions to “ SYLVIA DAVIS PHD” Practice Location

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