Healthcare Provider Details

I. General information

NPI: 1881129104
Provider Name (Legal Business Name): MRS. DAWN MICHELLE TAYLOR GIZZIO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2017
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2205 PHILADELPHIA PIKE
CLAYMONT DE
19703-2428
US

IV. Provider business mailing address

5151 CHICHESTER AVE
UPPER CHICHESTER PA
19014-2313
US

V. Phone/Fax

Practice location:
  • Phone: 302-893-4945
  • Fax:
Mailing address:
  • Phone: 610-485-5335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC-0000801
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberPC-0000801
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: