Provider Demographics
NPI:1194963926
Name:ROSSI, DAWN ELAINE (MS/PHD)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:ELAINE
Last Name:ROSSI
Suffix:
Gender:F
Credentials:MS/PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 EASY ST
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04330
Mailing Address - Country:US
Mailing Address - Phone:207-268-9365
Mailing Address - Fax:
Practice Address - Street 1:5 EASY ST
Practice Address - Street 2:
Practice Address - City:LITCHFIELD
Practice Address - State:ME
Practice Address - Zip Code:04350
Practice Address - Country:US
Practice Address - Phone:207-592-8576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-02
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME374432222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist