Davis, Marilyn T

Davis, Marilyn T is an sole proprietor health care provider with primary practice located at 601 4Th St Sw Coronado Complex, Albuquerque NM 87102-3840. 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, Marilyn T can be contacted via phone (505) 247-1012.

Contact Information

Primary practice address
601 4Th St Sw Coronado Complex Albuquerque NM 87102-3840
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 849 New Mexico

Profile Details

NPI number 1376680249
LBN Legal business name Davis, Marilyn T
Credentials SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2007
Last updated Jul 9th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1376680249 NPPES
New Mexico MEDICAID 75765

Popular Providers