Provider Demographics
NPI:1184300097
Name:KAUFMANN, DAWN (PEER SUPPORT)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:KAUFMANN
Suffix:
Gender:F
Credentials:PEER SUPPORT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30841 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY, OH
Mailing Address - State:OH
Mailing Address - Zip Code:44094
Mailing Address - Country:US
Mailing Address - Phone:216-441-2496
Mailing Address - Fax:
Practice Address - Street 1:30841 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY, OH
Practice Address - State:OH
Practice Address - Zip Code:44094
Practice Address - Country:US
Practice Address - Phone:216-441-2496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist