NPI 1114290509

Basil Ashley Davis, SLP

Practitioner Speech-Language Pathologist State College, PA

Practice location

Address: 383 Rolling Ridge Dr, State College, PA 16801-7679
Phone: (814) 689-1911
Mailing address: 8850 Old Erie Pike, West Decatur, PA 16878-8739

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SL009907 (PA)

Other Speech-Language Pathologist providers in Pennsylvania →

Registry record

NPI: 1114290509
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Feb 2012
Record last updated: 15 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.