National Provider Identifier

Emilee S Davis, M.S.-CCC-SLP/L

Emilee S Davis, M.S.-CCC-SLP/L is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Newark, NY and a listed phone number of (315) 332-7400.

NPI 1427711175Newark, NYSpeech-Language Pathologist

Profile Overview

NPI
1427711175
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
October 20, 2021
Last Updated
October 20, 2021

Practice Location

  • 131 Drumlin Ct
  • Newark, NY 14513-1863

Phone: (315) 332-7400

Mailing Address

  • 104 Scott St
  • Newark, NY 14513-1415

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1427711175
Entity Type
Individual
Last Name
Davis
First Name
Emilee
Middle Name
S
Name Prefix
Mrs.
Credential
M.S.-CCC-SLP/L
Provider Other Last Name
Clark
Provider Other First Name
Emilee
Provider Other Middle Name
S
Provider Other Name Prefix Text
MS.
Provider Other Last Name Type Code
1
Mailing Street Address
104 Scott St
Mailing City
Newark
Mailing State
NY
Mailing ZIP Code
14513-1415
Mailing Country
US
Mailing Phone
(585) 721-7923
Practice Street Address
131 Drumlin Ct
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-1863
Practice Country
US
Practice Phone
(315) 332-7400
Enumeration Date
October 20, 2021
Last Updated
October 20, 2021
Sex
Female
Sole Proprietor
No
Certification Date
October 20, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)