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NPI Code Detail

MEDICARE: LAURA JOYCE DAVIS MA, CCC-SLP

MEDICARE:   LAURA JOYCE DAVIS  MA, CCC-SLP
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 Pathologist1231-SLPSD

General Provider Information

NPI Number : 1265290530
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA JOYCE DAVIS MA, CCC-SLP
Provider Business Mailing Address
First Line : 200 E HAVENS AVE
Second Line :
City : MITCHELL
State : SD
Zip : 57301
Country : US
Telephone Number : 605-996-8712
Fax Number :
Provider Business Practice Location Address
First Line : 500 S OHLMAN ST
Second Line :
City : MITCHELL
State : SD
Zip : 57301-3109
Country : US
Telephone Number : 605-996-7701
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2024
Last Update Date : 03/11/2024

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Directions to “ LAURA JOYCE DAVIS MA, CCC-SLP” Practice Location

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