Individual
MRS. GRACE MARIE DAWGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
920 VIEWMONT DRIVE, DICKSON CITY, PA 18519
(570) 587-5437
(570) 346-7450
Mailing address
1006 WOODLAND WAY, CLARKS SUMMIT, PA 18411-2714
(570) 587-5437
(570) 346-7450
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001683790001
DEPT OF MEDICAL ASSISTANC
—
01
—
075899
FIRST PRIORITY
—
01
—
1215
GEISINGER HEALTH PLAN
—
01
—
5295529
AETNA
—
01
—
769295
HIMARK BLUE CROSS SHIELD
—
Enumeration date
03/05/2007
Last updated
07/08/2007
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