Provider Demographics
NPI:1356512362
Name:MALANOWSKI, SHARON DAWSON (MS, CCC-A, F-AAA)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:DAWSON
Last Name:MALANOWSKI
Suffix:
Gender:F
Credentials:MS, CCC-A, F-AAA
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:ROSE
Other - Last Name:DAWSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, CCC-A, F-AAA
Mailing Address - Street 1:110 CHARLOIS BLVD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-1522
Mailing Address - Country:US
Mailing Address - Phone:336-768-0886
Mailing Address - Fax:336-659-2446
Practice Address - Street 1:110 CHARLOIS BLVD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-1522
Practice Address - Country:US
Practice Address - Phone:336-768-0886
Practice Address - Fax:336-659-2446
Is Sole Proprietor?:No
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4041231H00000X
NC868237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter