Individual
DAWN RENAE PHILBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
160 S 68TH ST STE 1101, WEST DES MOINES, IA 50266-8304
(515) 218-8445
(515) 864-0024
Mailing address
160 S 68TH ST STE 1101, WEST DES MOINES, IA 50266-8304
(515) 218-8445
(515) 864-0024
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
016551
OR
235Z00000X
Speech-Language Pathologist
Primary
01709
IA
235Z00000X
Speech-Language Pathologist
30000187
NC
235Z00000X
Speech-Language Pathologist
SLP-1990
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15481618
CAQH
IA
Enumeration date
02/02/2022
Last updated
02/02/2022
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