Provider Demographics
NPI:1184968778
Name:ZAFFIRO, DAWN VICTOIRA (MSP, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:VICTOIRA
Last Name:ZAFFIRO
Suffix:
Gender:F
Credentials:MSP, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:548 VILLAGE CHURCH DR
Mailing Address - Street 2:
Mailing Address - City:CHAPIN
Mailing Address - State:SC
Mailing Address - Zip Code:29036-7538
Mailing Address - Country:US
Mailing Address - Phone:803-446-0432
Mailing Address - Fax:
Practice Address - Street 1:548 VILLAGE CHURCH DR
Practice Address - Street 2:
Practice Address - City:CHAPIN
Practice Address - State:SC
Practice Address - Zip Code:29036-7538
Practice Address - Country:US
Practice Address - Phone:803-446-0432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-20
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3770235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist