Provider Demographics
NPI:1164681375
Name:BACKOS, DAWN (MED)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:
Last Name:BACKOS
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CORPORATE CIR
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-8027
Mailing Address - Country:US
Mailing Address - Phone:724-850-7300
Mailing Address - Fax:724-850-7778
Practice Address - Street 1:1 CORPORATE CIR
Practice Address - Street 2:SUITE 2000
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-8027
Practice Address - Country:US
Practice Address - Phone:724-850-7300
Practice Address - Fax:724-850-7778
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health