Davis, Tera Barbara

Davis, Tera Barbara is an sole proprietor health care provider with primary practice located at 35 Terrace Ln Apt F , Lake Zurich IL 60047-3111. 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, Tera Barbara can be contacted via phone (847) 322-1059.

Contact Information

Primary practice address
35 Terrace Ln Apt F Lake Zurich IL 60047-3111
Phone: (847) 322-1059
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 242002472 Illinois

Profile Details

NPI number 1801145586
LBN Legal business name Davis, Tera Barbara
Credentials MA, CCC-SLP/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2012
Last updated Dec 8th, 2017 - 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 1801145586 NPPES
Illinois Other 242002472 ILLINOIS TEMPORARY LICENSE

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