Doctor Name: | DAWN F SAMPSON |
NPI Number: | 1619021284 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M ED. CCC-SLP |
License Number: | SLP004400 |
Business Practice Address: | 2395 Wall St Se Suite 190 Conyers, GA - 300136703 |
Business Phone Number: | 4042028490 |
Business Fax Number: | 7706799344 |
Mailing Address: | 3141 Brighton Pass, CONYERS |
State: | GA |
Postal Code: | 300943357 |
Phone Number: | 4042028490 |
Fax Number: | 7706799344 |
NPI Enumeration Date: | 01/22/2007 |
NPI Last Update Date: | 12/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP004400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |