Individual
DAWN R HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS. CCC-SLP
Contact information
Practice address
106 TARGHETTA RD, CORRALES, NM 87048-6937
(505) 450-4482
Mailing address
106 TARGHETTA RD, CORRALES, NM 87048-6937
(505) 450-4482
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2155A
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T 6448
—
NM
Enumeration date
02/06/2007
Last updated
11/06/2012
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