Provider Demographics
NPI:1316378904
Name:DAWSON, DAYLIN
Entity Type:Individual
Prefix:
First Name:DAYLIN
Middle Name:
Last Name:DAWSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6405 NW 36TH ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:VIRGINIA GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6974
Mailing Address - Country:US
Mailing Address - Phone:305-526-2426
Mailing Address - Fax:305-526-1182
Practice Address - Street 1:6405 NW 36TH ST
Practice Address - Street 2:SUITE 105
Practice Address - City:VIRGINIA GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33166-6974
Practice Address - Country:US
Practice Address - Phone:305-526-2426
Practice Address - Fax:305-526-1182
Is Sole Proprietor?:No
Enumeration Date:2013-12-06
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL22332355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant