Provider Demographics
NPI:1821855982
Name:DOSS, ATHENA RENEE
Entity Type:Individual
Prefix:
First Name:ATHENA
Middle Name:RENEE
Last Name:DOSS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44605 AVENIDA DE MISSIONES STE 205
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-5001
Mailing Address - Country:US
Mailing Address - Phone:951-404-0911
Mailing Address - Fax:
Practice Address - Street 1:44605 AVENIDA DE MISSIONES STE 205
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-5001
Practice Address - Country:US
Practice Address - Phone:951-404-0911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist