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

Individual provider Speech-Language Pathologist · NPI 1134628795

Raleeta Dianne Davis, MEDCCCSLP is a Speech-Language Pathologist in St Simons Is, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2018
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Practice location Address checks out

136 Marshs Edge Ln
St Simons Is, GA 31522-8898
Phone: (912) 291-2029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP005154 (GA)

Record details

NPI number1134628795
Entity typeIndividual (Type 1)
GenderFemale
Credentials MEDCCCSLP
Sole proprietorYes
NPI enumeratedFebruary 8, 2018
Last updated in NPPESFebruary 8, 2018

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