Provider Demographics
NPI:1104058734
Name:DOBSON, CAROLYN ANN (MT-BC, FELLOW UANMT)
Entity type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:ANN
Last Name:DOBSON
Suffix:
Gender:F
Credentials:MT-BC, FELLOW UANMT
Other - Prefix:MS
Other - First Name:CAROLYN
Other - Middle Name:ANN
Other - Last Name:WEBB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MT-BC, FELLOW UANMT
Mailing Address - Street 1:5142B FOOTHILL RD
Mailing Address - Street 2:
Mailing Address - City:CARPINTERIA
Mailing Address - State:CA
Mailing Address - Zip Code:93013-3017
Mailing Address - Country:US
Mailing Address - Phone:214-923-2477
Mailing Address - Fax:
Practice Address - Street 1:5142B FOOTHILL RD
Practice Address - Street 2:
Practice Address - City:CARPINTERIA
Practice Address - State:CA
Practice Address - Zip Code:93013-3017
Practice Address - Country:US
Practice Address - Phone:214-923-2477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-15
Last Update Date:2009-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
14403225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist