1073567962 NPI number — MRS. DEBBIE A. DAWSEY-DAVIS M.S.CCC-SLP

Table of content: MRS. DEBBIE A. DAWSEY-DAVIS M.S.CCC-SLP (NPI 1073567962)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073567962 NPI number — MRS. DEBBIE A. DAWSEY-DAVIS M.S.CCC-SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DAWSEY-DAVIS
Provider First Name:
DEBBIE
Provider Middle Name:
A.
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.S.CCC-SLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073567962
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4058 SHELL POINT RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BEAUFORT
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29906-6845
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
843-812-8255
Provider Business Mailing Address Fax Number:
843-522-1219

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4058 SHELL POINT RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BEAUFORT
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29906-6845
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-812-8255
Provider Business Practice Location Address Fax Number:
843-522-1219
Provider Enumeration Date:
05/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  397 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: #397 . This is a "SC STATE LICENSE-SPEECH" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
  • Identifier: BNP-7-118 . This is a "BABYNET PROVIDER-SPEECH" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
  • Identifier: 00669481 . This is a "ASHA ACCOUNT NUMBER" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
  • Identifier: SA0357 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com