Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derrick Raynard Davis Jr., MSSLP

Individual provider Speech-Language Pathologist · NPI 1679341804

Derrick Raynard Davis Jr., MSSLP is a Speech-Language Pathologist in Orlando, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

5165 Adanson St
Orlando, FL 32804-1331
Phone: (352) 394-0212
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SZ11426 (FL)

Record details

NPI number1679341804
Entity typeIndividual (Type 1)
GenderMale
Credentials MSSLP
Sole proprietorYes
NPI enumeratedDecember 18, 2023
Last updated in NPPESDecember 18, 2023
Certification dateDecember 18, 2023

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