Provider Demographics
NPI:1407524838
Name:MCDONALD, DAWN (MA CCC-SLP, TSSLD-BE)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:MA CCC-SLP, TSSLD-BE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1858 JONES AVE N
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-3306
Mailing Address - Country:US
Mailing Address - Phone:516-320-3608
Mailing Address - Fax:
Practice Address - Street 1:1858 JONES AVE N
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-3306
Practice Address - Country:US
Practice Address - Phone:516-320-3608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-31
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030995235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist