MEDICARE: DAWN C FRANZ M.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	1132	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1132	OTHER	KS	KS DEPT OF HEALTH

General Provider Information

NPI Number	:	1275742793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN C FRANZ M.A.

Provider Business Mailing Address
First Line	:	1828 N ESSEX HEIGHTS RD
Second Line	:
City	:	HALSTEAD
State	:	KS
Zip	:	67056-9033
Country	:	US
Telephone Number	:	316-830-2380
Fax Number	:	316-283-6678

Provider Business Practice Location Address
First Line	:	1828 N ESSEX HEIGHTS RD
Second Line	:
City	:	HALSTEAD
State	:	KS
Zip	:	67056-9033
Country	:	US
Telephone Number	:	316-830-2380
Fax Number	:	316-283-6678

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	07/08/2007

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Directions to “ DAWN C FRANZ M.A.” Practice Location

Language	Start Address	Practice Location

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