Davis, Lisa Mabry

Davis, Lisa Mabry is an sole proprietor health care provider with primary practice located at 738 N Green River Rd , Gaffney SC 29341-5209. 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, Lisa Mabry can be contacted via phone (864) 461-5228.

Contact Information

Primary practice address
738 N Green River Rd Gaffney SC 29341-5209
Phone: (864) 461-5228
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1532 South Carolina

Profile Details

NPI number 1427269554
LBN Legal business name Davis, Lisa Mabry
Credentials MSP, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2007
Last updated Jul 8th, 2007 - about 19 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 1427269554 NPPES
South Carolina MEDICAID SAO147

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