MEDICARE: DAWN HUFFMAN 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	22004637A	IN

General Provider Information

NPI Number	:	1952639031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN HUFFMAN CCC-SLP

Provider Business Mailing Address
First Line	:	3243 TATES WAY
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-8620
Country	:	US
Telephone Number	:	317-271-2861
Fax Number	:

Provider Business Practice Location Address
First Line	:	3243 TATES WAY
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-8620
Country	:	US
Telephone Number	:	317-271-2861
Fax Number	:

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

Provider Enumeration Date	:	11/30/2009
Last Update Date	:	11/30/2009

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Directions to “ DAWN HUFFMAN CCC-SLP” Practice Location

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