Individual
MRS. DAWN BIRTWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
165 E VIA MERCADO, HUACHUCA CITY, AZ 85616
(520) 266-0991
(815) 301-8374
Mailing address
165 E VIA MERCADO, HUACHUCA CITY, AZ 85616-9771
(800) 850-0991
(815) 301-8374
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4292
AZ
332B00000X
Durable Medical Equipment & Medical Supplies
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1533037
—
MA
05
—
868169
—
AZ
Enumeration date
03/12/2007
Last updated
01/19/2016
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