Provider Demographics
NPI:1033442629
Name:TIMMER, DANA M (MA)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:M
Last Name:TIMMER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15305 HOUNDMASTER CIR
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-6519
Mailing Address - Country:US
Mailing Address - Phone:804-639-1201
Mailing Address - Fax:
Practice Address - Street 1:15305 HOUNDMASTER CIR
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-6519
Practice Address - Country:US
Practice Address - Phone:804-639-1201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-14
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201001381231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist