Provider Demographics
NPI:1497392773
Name:OBY DAWSON, JOAN (SPEECH PATHOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:JOAN
Middle Name:
Last Name:OBY DAWSON
Suffix:
Gender:F
Credentials:SPEECH PATHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1209 RIDERVALE RD
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-1905
Mailing Address - Country:US
Mailing Address - Phone:917-921-9157
Mailing Address - Fax:
Practice Address - Street 1:1209 RIDERVALE RD
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-1905
Practice Address - Country:US
Practice Address - Phone:917-921-9157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-05
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07132235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist