Provider Demographics
NPI:1073567962
Name:DAWSEY-DAVIS, DEBBIE A (MSCCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:DEBBIE
Middle Name:A
Last Name:DAWSEY-DAVIS
Suffix:
Gender:F
Credentials:MSCCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4058 SHELL POINT RD
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29906-6845
Mailing Address - Country:US
Mailing Address - Phone:843-812-8255
Mailing Address - Fax:843-522-1219
Practice Address - Street 1:4058 SHELL POINT RD
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29906-6845
Practice Address - Country:US
Practice Address - Phone:843-812-8255
Practice Address - Fax:843-522-1219
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC397235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC#397OtherSC STATE LICENSE-SPEECH
SCBNP-7-118OtherBABYNET PROVIDER-SPEECH
SC00669481OtherASHA ACCOUNT NUMBER
SCSA0357Medicaid