Provider Demographics
NPI:1235117029
Name:SCOGGINS, DAWN HENSLEY (MSP CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:HENSLEY
Last Name:SCOGGINS
Suffix:
Gender:F
Credentials:MSP CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1422 ASHFORD PKWY
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-5550
Mailing Address - Country:US
Mailing Address - Phone:678-613-7725
Mailing Address - Fax:
Practice Address - Street 1:1422 ASHFORD PKWY
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-5550
Practice Address - Country:US
Practice Address - Phone:678-613-7725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202004879235Z00000X
SC3715235Z00000X
GASLP006384235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist