Provider Demographics
NPI:1659082709
Name:FELE, DAWN (MS, CCC/SLP)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:FELE
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:MANDY
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5433 NW 48TH ST
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-3324
Mailing Address - Country:US
Mailing Address - Phone:954-592-8089
Mailing Address - Fax:
Practice Address - Street 1:5600 LAKESIDE DR
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-1423
Practice Address - Country:US
Practice Address - Phone:954-974-6604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-09
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA2418235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist