Laura L Davidson Valid NPI

Individual provider · Speech-Language Pathologist · O Fallon, MO

NPI

1508082330

Type

Individual (Type 1)

Primary specialty

Speech-Language Pathologist

Specialty group

Speech, Language and Hearing Service Providers

Taxonomy code

235Z00000X

License number

0354302 (MO)

Sex

Female

Sole proprietor

No

Enumerated

2007-04-18

Last updated

2007-07-08