Provider Demographics
NPI:1326206244
Name:CHAMBERLAIN, DAWN MICHELE (MS CCC SLP)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:MICHELE
Last Name:CHAMBERLAIN
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Gender:F
Credentials:MS CCC SLP
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Mailing Address - Street 1:1011 WEST MAPLE ST SUITE 300
Mailing Address - Street 2:KALAMAZOO SPEECH ASSOCIATES
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49008
Mailing Address - Country:US
Mailing Address - Phone:269-343-7811
Mailing Address - Fax:269-343-7811
Practice Address - Street 1:1011 WEST MAPLE ST
Practice Address - Street 2:KALAMAZOO SPEECH ASSOCIATES
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49008
Practice Address - Country:US
Practice Address - Phone:269-343-7811
Practice Address - Fax:269-343-7811
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-28
Last Update Date:2008-05-28
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Provider Licenses
StateLicense IDTaxonomies
MI09111388235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist