Provider Demographics
NPI:1225903784
Name:SHAFFER, DAZEE DAWN (BC-HIS)
Entity type:Individual
Prefix:MRS
First Name:DAZEE
Middle Name:DAWN
Last Name:SHAFFER
Suffix:
Gender:F
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1246 S LEGEND HILLS DR
Mailing Address - Street 2:STE A2
Mailing Address - City:CLEARFIELD
Mailing Address - State:UT
Mailing Address - Zip Code:84015
Mailing Address - Country:US
Mailing Address - Phone:801-784-6900
Mailing Address - Fax:801-784-6905
Practice Address - Street 1:1246 S LEGEND HILLS DR
Practice Address - Street 2:STE A2
Practice Address - City:CLEARFIELD
Practice Address - State:UT
Practice Address - Zip Code:84015
Practice Address - Country:US
Practice Address - Phone:801-784-6900
Practice Address - Fax:801-784-6905
Is Sole Proprietor?:No
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13293569-4601237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist