Mrs Amanda Davis, MS, CCC-SLP is a
Speech-language Pathologist based in Boydton, Virginia. Mrs Amanda Davis is licensed to practice in Virginia (license number 2202007489) and her current practice location is
175 Mayfield Dr, Boydton, Virginia. She can be reached at her office (for appointments etc.) via phone at
(434) 738-6111.
NPI number for Mrs Amanda Davis is 1457853129 and her current mailing address is 175 Mayfield Dr, Boydton, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457853129.
Healthcare Provider's Profile
Full Name | Mrs Amanda Davis |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 175 Mayfield Dr, Boydton, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457853129
- Provider Enumeration Date: 03/08/2018
- Last Update Date: 03/08/2018
Medical Identifiers
Medical identifiers for Mrs Amanda Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457853129 | NPI | - | NPPES |
2202007489 | Medicaid | VA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 2202007489 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Amanda Davis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Amanda Davis, MS, CCC-SLP 175 Mayfield Dr, Boydton, VA 23917-2817 Ph: () - | Mrs Amanda Davis, MS, CCC-SLP 175 Mayfield Dr, Boydton, VA 23917-2817 Ph: (434) 738-6111 |
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