Doctor Name: | MRS. DAWN RENEE BEREZNAK |
NPI Number: | 1255483343 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A.-CCC |
License Number: | SP11142 |
Business Practice Address: | 13 Stratford Way Chico, CA - 959738111 |
Business Phone Number: | 5305207179 |
Business Fax Number: | |
Mailing Address: | 60 Frostwood Dr, LAKE ALMANOR |
State: | CA |
Postal Code: | 961379646 |
Phone Number: | 5305207179 |
Fax Number: | 5302596024 |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 03/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP11142 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |