Provider Demographics
NPI:1205953189
Name:DASHEFSKY, RANDY LYNN (MS CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:RANDY
Middle Name:LYNN
Last Name:DASHEFSKY
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 1:8007 E WINDWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-6440
Mailing Address - Country:US
Mailing Address - Phone:480-474-4068
Mailing Address - Fax:480-474-4069
Practice Address - Street 1:14421 N. 23RD AVE.
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85023-6099
Practice Address - Country:US
Practice Address - Phone:602-896-5700
Practice Address - Fax:602-896-5720
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP0443235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZSLP0443OtherSTATE LICENSE NUMBER