| Doctor Name: | DR. DAWN MARIE BIRK |
| NPI Number: | 1295762193 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 266 |
| Business Practice Address: | 408 Water Ave. Colstrip, MT - 593232425 |
| Business Phone Number: | 4067400028 |
| Business Fax Number: | 4067484624 |
| Mailing Address: | 408 Water Ave., P.o. Box 2425 COLSTRIP |
| State: | MT |
| Postal Code: | 593232425 |
| Phone Number: | 4067400028 |
| Fax Number: | 4067484624 |
| NPI Enumeration Date: | 06/27/2006 |
| NPI Last Update Date: | 08/13/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | 266 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |