Davis, Lisa Michelle

Davis, Lisa Michelle is an sole proprietor health care provider with primary practice located at 118 Scotts Bluff Dr , Simpsonville SC 29681. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Davis, Lisa Michelle can be contacted via phone (864) 561-5838.

Contact Information

Primary practice address
118 Scotts Bluff Dr Simpsonville SC 29681
Phone: (864) 561-5838
Fax: (855) 849-5178
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 4063 South Carolina

Profile Details

NPI number 1972738185
LBN Legal business name Davis, Lisa Michelle
Credentials MCD-SLP-CCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2009
Last updated Jun 13th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972738185 NPPES
South Carolina MEDICAID SA1007

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