Doctor Name: | STEPHANIE ANN DAWDY |
NPI Number: | 1043339161 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, LSSP |
License Number: | 14967 |
Business Practice Address: | 412 15th St Canyon, TX - 790153839 |
Business Phone Number: | 8066545454 |
Business Fax Number: | 8066553425 |
Mailing Address: | Po Box 131, CANYON |
State: | TX |
Postal Code: | 790150131 |
Phone Number: | 8066545454 |
Fax Number: | 8066553425 |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 14967 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |