Provider Demographics
NPI:1063741395
Name:DAVIS, VALERIE G (MS CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:G
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MS CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1432 REGENCY DR
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3186
Mailing Address - Country:US
Mailing Address - Phone:412-653-7019
Mailing Address - Fax:
Practice Address - Street 1:1432 REGENCY DR
Practice Address - Street 2:
Practice Address - City:JEFFERSON HILLS
Practice Address - State:PA
Practice Address - Zip Code:15025-3186
Practice Address - Country:US
Practice Address - Phone:412-653-7019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-16
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL004384L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist