Provider Demographics
NPI:1871086827
Name:DAVIS, MICHELLE DAIGREPONT (MA)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:DAIGREPONT
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:DAIGREPONT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:NEW ORLEANS SPEECH AND HEARING CENTER
Mailing Address - Street 2:1636 TOLEDANO STREET
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115
Mailing Address - Country:US
Mailing Address - Phone:504-897-2606
Mailing Address - Fax:504-891-6048
Practice Address - Street 1:NEW ORLEANS SPEECH AND HEARING CENTER
Practice Address - Street 2:1636 TOLEDANO STREET
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115
Practice Address - Country:US
Practice Address - Phone:504-897-2606
Practice Address - Fax:504-891-6048
Is Sole Proprietor?:No
Enumeration Date:2018-06-13
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist