Marissa Davis, MA CCC-SLP
NPI #1427692540 in Port Charlotte, Florida
Provider Information
- NPI Number
- 1427692540
- Entity Type
- Individual
- Name
- Marissa Davis, MA CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MA CCC-SLP
- Enumeration Date
- Oct 31, 2019
- Last Updated
- Oct 31, 2019
Practice Location
- Address
- 24151 BEATRIX BLVD UNIT 1006
- City
- Port Charlotte
- State
- Florida
- ZIP Code
- 33954-3858
- Phone
- (407) 455-3505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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