Most Relevant Information
Provider Data
| NPI Number: | 1003183385 |
| Provider Name: | NICOLE RENEE DAWSON MA, CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 12039184 |
Most Important Dates
| Enumeration Date: | 11/30/2011 |
| Last Updated: | 11/30/2011 |
Provider Practice Location
10846 ELDER AVE.
CONIFER
CO
80433
Practice Location Phone/Fax
| Phone: | 7208514820 |
| Fax: |
Provider Mailing Location
10846 ELDER AVE.
CONIFER
CO
80433
Provider Mailing Phone/Fax
| Phone: | 7208514820 |
| Fax: |