Provider Demographics
NPI:1053893032
Name:DAWBER, ANNA CLAIRE
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:CLAIRE
Last Name:DAWBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:861 PINENECK RD
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-1319
Mailing Address - Country:US
Mailing Address - Phone:516-280-0842
Mailing Address - Fax:
Practice Address - Street 1:1260 MEADOWBROOK RD
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-1542
Practice Address - Country:US
Practice Address - Phone:516-992-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-05
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027838-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist