Provider Demographics
NPI:1417674961
Name:DAHM, ELAINE MCVICKER (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ELAINE
Middle Name:MCVICKER
Last Name:DAHM
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1228 EDWARDS RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45208-2708
Mailing Address - Country:US
Mailing Address - Phone:317-750-3733
Mailing Address - Fax:
Practice Address - Street 1:1228 EDWARDS RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45208-2708
Practice Address - Country:US
Practice Address - Phone:317-750-3733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist