MEDICARE: HEIDI J DAWES M.A., CCC-SLP

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	5199	MA
2	252Y00000X	Early Intervention Provider Agency
3	235Z00000X	Speech-Language Pathologist	9959	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285813865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI J DAWES M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	5337 MOONGATE RD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34606-1243
Country	:	US
Telephone Number	:	352-610-4632
Fax Number	:

Provider Business Practice Location Address
First Line	:	5337 MOONGATE RD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34606-1243
Country	:	US
Telephone Number	:	352-610-4632
Fax Number	:

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

Provider Enumeration Date	:	10/30/2007
Last Update Date	:	02/21/2018

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Directions to “ HEIDI J DAWES M.A., CCC-SLP” Practice Location

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