Provider Demographics
NPI:1851285993
Name:WHITNEY, DEAN SMITH (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:DEAN
Middle Name:SMITH
Last Name:WHITNEY
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 LAKESHORE DR
Mailing Address - Street 2:
Mailing Address - City:AUBURNDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33823-9738
Mailing Address - Country:US
Mailing Address - Phone:904-536-8034
Mailing Address - Fax:
Practice Address - Street 1:1006 LAKESHORE DR
Practice Address - Street 2:
Practice Address - City:AUBURNDALE
Practice Address - State:FL
Practice Address - Zip Code:33823-9738
Practice Address - Country:US
Practice Address - Phone:904-536-8034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA23661235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty