Provider Demographics
NPI:1851437875
Name:DAUSSES, TRICIA (SLP)
Entity Type:Individual
Prefix:MS
First Name:TRICIA
Middle Name:
Last Name:DAUSSES
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1341 INDIANA DR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94521-4135
Mailing Address - Country:US
Mailing Address - Phone:925-672-7998
Mailing Address - Fax:
Practice Address - Street 1:3075 CITRUS CIR
Practice Address - Street 2:SUITE 240
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2666
Practice Address - Country:US
Practice Address - Phone:925-930-6680
Practice Address - Fax:925-930-7867
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10600235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist