Healthcare Provider Details

I. General information

NPI: 1851398028
Provider Name (Legal Business Name): CLAUDIA DEMBSKI HAWLEY M A CCC A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/04/2005
Last Update Date: 08/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5641 ZUMBRA DRIVE SUITE 111
DIRECTOR MN
55381
US

IV. Provider business mailing address

5641 ZUMBRA DRIVE SUITE 111
EXCELSIOR MN
55331
US

V. Phone/Fax

Practice location:
  • Phone: 952-474-2305
  • Fax: 952-474-9222
Mailing address:
  • Phone: 952-474-2305
  • Fax: 952-474-9222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number5114
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: