Most Relevant Information
Provider Data
| NPI Number: | 1003232174 |
| Provider Name: | DAVIDA RICHARDSON |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SLP008207 |
Most Important Dates
| Enumeration Date: | 03/12/2014 |
| Last Updated: | 04/07/2014 |
Provider Practice Location
6812 MADDOX RD
MORROW
GA
302603223
Practice Location Phone/Fax
| Phone: | 6786128493 |
| Fax: |
Provider Mailing Location
PO BOX 90515
ATLANTA
GA
303640515
Provider Mailing Phone/Fax
| Phone: | 6786128493 |
| Fax: |