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NPI Code Detail

MEDICARE: MRS. MOLLY DAVIS SLP

MEDICARE:  MRS. MOLLY  DAVIS  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 PathologistSA 7687FL
2235Z00000XSpeech-Language PathologistSP 8374OH

General Provider Information

NPI Number : 1558470252
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MOLLY DAVIS SLP
Provider Business Mailing Address
First Line : 861 NW 85TH TER
Second Line : #1807
City : PLANTATION
State : FL
Zip : 33324-1247
Country : US
Telephone Number : 954-916-3508
Fax Number :
Provider Business Practice Location Address
First Line : 6100 GRIFFIN RD
Second Line :
City : DAVIE
State : FL
Zip : 33314-4416
Country : US
Telephone Number : 954-262-7722
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. MOLLY DAVIS SLP” Practice Location

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