Provider Demographics
NPI:1114064623
Name:HELMS, DANA ROGERS (M A)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:ROGERS
Last Name:HELMS
Suffix:
Gender:F
Credentials:M A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5005 ROYAL DORNOCH DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-5841
Mailing Address - Country:US
Mailing Address - Phone:919-376-1802
Mailing Address - Fax:
Practice Address - Street 1:5005 ROYAL DORNOCH DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-5841
Practice Address - Country:US
Practice Address - Phone:919-376-1802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4682235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC740236BMedicaid