Davis, Kathleen Anne

Davis, Kathleen Anne is an sole proprietor health care provider with primary practice located at 89 Access Rd Suite 28, Norwood MA 02062-5229. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Davis, Kathleen Anne can be contacted via phone (617) 823-9079.

Contact Information

Primary practice address
89 Access Rd Suite 28 Norwood MA 02062-5229
Phone: (617) 823-9079
Fax: (781) 762-3122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2214 Massachusetts

Profile Details

NPI number 1073758942
LBN Legal business name Davis, Kathleen Anne
Credentials C.C.C./SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2008
Last updated Dec 8th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073758942 NPPES
Massachusetts Other 469002 TUFTS HEALTH CARE
Massachusetts MEDICAID 0377856 TUFTS HEALTH CARE
Massachusetts Other SP0087 TUFTS HEALTH CARE
Massachusetts Other 626560 TUFTS HEALTH CARE

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