Individual
MRS. ANITA R GANTRY DOTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS SLP A CCC
Contact information
Practice address
1570 N NATIONAL, SUITE 101, CHEHALIS, WA 98532
(360) 740-8992
(360) 740-8993
Mailing address
1570 N NATIONAL, SUITE 101, CHEHALIS, WA 98532
(360) 740-8992
(360) 740-8993
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
LD00001112
WA
235Z00000X
Speech-Language Pathologist
LL00001021
WA
237700000X
Hearing Instrument Specialist
Primary
HA00000691
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030177
L&I WORKMANS COMP
—
05
—
7035900
—
WA
05
—
7100746
—
WA
01
—
HEARINGAIDS9035742
DSHS
—
05
—
LL00001021
—
WA
Enumeration date
02/21/2007
Last updated
09/11/2025
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