Provider Demographics
NPI:1790746568
Name:HAGGART, DAWN C (MA)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:C
Last Name:HAGGART
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:
Other - Last Name:LINK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 545
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:PA
Mailing Address - Zip Code:16346-0545
Mailing Address - Country:US
Mailing Address - Phone:814-677-6381
Mailing Address - Fax:814-677-6384
Practice Address - Street 1:2 PARK WAY
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:PA
Practice Address - Zip Code:16346-2413
Practice Address - Country:US
Practice Address - Phone:814-677-6381
Practice Address - Fax:814-677-6384
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT001170L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP91736Medicare UPIN