Provider Demographics
NPI:1932360567
Name:MERTH-JOHNSON, DAWN E (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:DAWN
Middle Name:E
Last Name:MERTH-JOHNSON
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18677 STATE HWY 60
Mailing Address - Street 2:
Mailing Address - City:BLUE RIVER
Mailing Address - State:WI
Mailing Address - Zip Code:53518-4827
Mailing Address - Country:US
Mailing Address - Phone:608-604-8292
Mailing Address - Fax:
Practice Address - Street 1:1850 11TH ST
Practice Address - Street 2:
Practice Address - City:FENNIMORE
Practice Address - State:WI
Practice Address - Zip Code:53809-1612
Practice Address - Country:US
Practice Address - Phone:608-822-6100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-17
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1430-154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist