Provider Demographics
NPI:1225324593
Name:DOBEK, MOLLY MAUREEN (MS-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MOLLY
Middle Name:MAUREEN
Last Name:DOBEK
Suffix:
Gender:F
Credentials:MS-SLP
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:MAUREEN
Other - Last Name:GEARY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS-SLP
Mailing Address - Street 1:110 S MARGAY ST
Mailing Address - Street 2:
Mailing Address - City:DUNKIRK
Mailing Address - State:NY
Mailing Address - Zip Code:14048-1308
Mailing Address - Country:US
Mailing Address - Phone:716-785-4188
Mailing Address - Fax:
Practice Address - Street 1:110 S MARGAY ST
Practice Address - Street 2:
Practice Address - City:DUNKIRK
Practice Address - State:NY
Practice Address - Zip Code:14048-1308
Practice Address - Country:US
Practice Address - Phone:716-785-4188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-24
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY58 020780235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist