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NPI Code Detail

MEDICARE: MICHELLE A. DAVIS M.A. CCC-SLP

MEDICARE: MICHELLE A. DAVIS M.A. 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 Pathologist7101000289MI

General Provider Information

NPI Number : 1356573596
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE A. DAVIS M.A. CCC-SLP
Provider Business Mailing Address
First Line : 845 CIRCLE DR
Second Line :
City : BAD AXE
State : MI
Zip : 48413-9103
Country : US
Telephone Number : 899-600-2476
Fax Number :
Provider Business Practice Location Address
First Line : 1167 E HOPSON ST
Second Line :
City : BAD AXE
State : MI
Zip : 48413-1555
Country : US
Telephone Number : 989-269-9983
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2009
Last Update Date : 12/21/2023

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Directions to “ MICHELLE A. DAVIS M.A. CCC-SLP” Practice Location

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