Provider Demographics
NPI:1336511567
Name:BETTS, DAWN M (PHD)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:M
Last Name:BETTS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 WOODSIDE CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-2310
Mailing Address - Country:US
Mailing Address - Phone:513-674-0799
Mailing Address - Fax:
Practice Address - Street 1:5215 MILITIA HILL RD
Practice Address - Street 2:SUITE A
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1276
Practice Address - Country:US
Practice Address - Phone:484-342-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-27
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.8442235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist