Provider Demographics
NPI:1255565669
Name:BLAND, DAWN LEE (MS CFY-SLP)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:LEE
Last Name:BLAND
Suffix:
Gender:F
Credentials:MS CFY-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 S MILES AVE
Mailing Address - Street 2:
Mailing Address - City:EL RENO
Mailing Address - State:OK
Mailing Address - Zip Code:73036-5240
Mailing Address - Country:US
Mailing Address - Phone:405-618-3713
Mailing Address - Fax:
Practice Address - Street 1:830 S MILES AVE
Practice Address - Street 2:
Practice Address - City:EL RENO
Practice Address - State:OK
Practice Address - Zip Code:73036-5240
Practice Address - Country:US
Practice Address - Phone:405-618-3713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-13
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist