Provider Demographics
NPI:1295995595
Name:BOYCE, DAWN CLARK (AUD,FAAA,CCC-A)
Entity type:Individual
Prefix:DR
First Name:DAWN
Middle Name:CLARK
Last Name:BOYCE
Suffix:
Gender:F
Credentials:AUD,FAAA,CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:761 MAIN AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-4647
Mailing Address - Country:US
Mailing Address - Phone:203-845-2244
Mailing Address - Fax:203-845-2249
Practice Address - Street 1:761 MAIN AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-4647
Practice Address - Country:US
Practice Address - Phone:203-845-2244
Practice Address - Fax:203-845-2249
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000257231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist