Provider Demographics
NPI:1831345438
Name:MATHEWS, DAWN MARIE (MSED, CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:DAWN MARIE
Middle Name:
Last Name:MATHEWS
Suffix:
Gender:F
Credentials:MSED, CCC/SLP
Other - Prefix:
Other - First Name:DAWN MARIE
Other - Middle Name:
Other - Last Name:ZIELINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSED, CCC/SLP
Mailing Address - Street 1:50 E. NORTH ST.
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203
Mailing Address - Country:US
Mailing Address - Phone:716-885-8318
Mailing Address - Fax:
Practice Address - Street 1:50 E. NORTH ST.
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203
Practice Address - Country:US
Practice Address - Phone:716-885-8318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-14
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006183-1235Z00000X
NY006183235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist