Provider Demographics
NPI:1538321948
Name:BARNETT, DAWNA DENISE (MA, CCC/SLP)
Entity Type:Individual
Prefix:
First Name:DAWNA
Middle Name:DENISE
Last Name:BARNETT
Suffix:
Gender:F
Credentials:MA, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 DON MORRIS CTR
Mailing Address - Street 2:ACU BOX 28058
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79699-0001
Mailing Address - Country:US
Mailing Address - Phone:325-674-2074
Mailing Address - Fax:325-674-2552
Practice Address - Street 1:116 DON MORRIS CTR
Practice Address - Street 2:ACU BOX 28058
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79699-0001
Practice Address - Country:US
Practice Address - Phone:325-674-2074
Practice Address - Fax:325-674-2552
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13050235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX67-6606OtherMEDICARE, PART B