Provider Demographics
NPI:1982882684
Name:VONMAYRHAUSER, DAWN PAPAZIAN (MSW)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:PAPAZIAN
Last Name:VONMAYRHAUSER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UCONN HEALTH CENTER
Mailing Address - Street 2:263 FARMINGTON AVENUE
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06030-0001
Mailing Address - Country:US
Mailing Address - Phone:860-679-4285
Mailing Address - Fax:860-679-1320
Practice Address - Street 1:UCONN HEALTH CENTER
Practice Address - Street 2:263 FARMINGTON AVE
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06030-0001
Practice Address - Country:US
Practice Address - Phone:860-679-4285
Practice Address - Fax:860-679-1320
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0040381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1982882684Medicaid
CT1982882684Medicaid