Provider Demographics
NPI:1477678746
Name:RIMER, DANA WALKER (MS, CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:WALKER
Last Name:RIMER
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 1:607 NORTH AVE
Mailing Address - Street 2:14
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-1307
Mailing Address - Country:US
Mailing Address - Phone:978-766-4026
Mailing Address - Fax:
Practice Address - Street 1:16 ABINGTON RD
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-3664
Practice Address - Country:US
Practice Address - Phone:978-766-4026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5891235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist