SearchTexas235Z00000X

Kelly Davis, M.ED.CCC-SLP

NPI 1427453810 · on the registry since 2014 · sole proprietor

Practice

Address
4801 Troup Hwy Ste 800
Tyler, TX 75703
Phone
(903) 525-9130
Fax
(903) 525-9156
Organisation at this address
Pedi Spot Llc
Tyler Tx Asc Llc
Jonathan Ridenour, Pa
Pediatric Therapeas Pllc
Wilson Renfroe, Psyd, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
56

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-10-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas