Provider Demographics
NPI:1316799331
Name:DAWN MARIE OBRIEN TAYLOR
Entity type:Organization
Organization Name:DAWN MARIE OBRIEN TAYLOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:OBRIEN TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-321-4886
Mailing Address - Street 1:3002 NAMIB DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80939-9720
Mailing Address - Country:US
Mailing Address - Phone:719-321-4886
Mailing Address - Fax:
Practice Address - Street 1:6385 CORPORATE DR STE 200
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80919-5912
Practice Address - Country:US
Practice Address - Phone:719-321-4886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty