Provider Demographics
NPI:1730458647
Name:DAWSON, MICHELLE LYNN WOOD (MS CCC-SLP, BCS-S)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:LYNN WOOD
Last Name:DAWSON
Suffix:
Gender:F
Credentials:MS CCC-SLP, BCS-S
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1015 WOODMONT DR
Mailing Address - Street 2:
Mailing Address - City:STAUNTON
Mailing Address - State:VA
Mailing Address - Zip Code:24401-8363
Mailing Address - Country:US
Mailing Address - Phone:803-603-9280
Mailing Address - Fax:
Practice Address - Street 1:200 W 12TH ST BLDG I-10
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:VA
Practice Address - Zip Code:22980-4771
Practice Address - Country:US
Practice Address - Phone:540-941-5501
Practice Address - Fax:540-941-5502
Is Sole Proprietor?:No
Enumeration Date:2011-12-21
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA2202005959235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist