Provider Demographics
NPI:1891216495
Name:DAVISON, VALARIE (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:VALARIE
Middle Name:
Last Name:DAVISON
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 1:493 BECK RD
Mailing Address - Street 2:
Mailing Address - City:LORETTO
Mailing Address - State:PA
Mailing Address - Zip Code:15940-8415
Mailing Address - Country:US
Mailing Address - Phone:814-471-2195
Mailing Address - Fax:
Practice Address - Street 1:916 HICKORY ST
Practice Address - Street 2:
Practice Address - City:HOLLIDAYSBURG
Practice Address - State:PA
Practice Address - Zip Code:16648-2248
Practice Address - Country:US
Practice Address - Phone:814-696-4527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-05
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist