Search › Georgia › 235Z00000X
Shellie Davis, CCC-SLP
NPI 1962051979 · on the registry since 2019 · sole proprietor
Practice
- Address
- 790 Oak Trail Dr
Marietta, GA 30062 - Phone
- (770) 212-2170
- Fax
- (770) 783-8639
- Organisation at this address
- Moon River, Llc
Moon River, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 26
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-09-11
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 Georgia