Provider Demographics
NPI:1962412916
Name:STARKMAN, DAWN MARCI (MS,CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:DAWN
Middle Name:MARCI
Last Name:STARKMAN
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9691 ARBOR OAKS COURT
Mailing Address - Street 2:205
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-1773
Mailing Address - Country:US
Mailing Address - Phone:561-302-3468
Mailing Address - Fax:561-419-8520
Practice Address - Street 1:9691 ARBOR OAKS COURT,# 205
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-1773
Practice Address - Country:US
Practice Address - Phone:561-302-3468
Practice Address - Fax:561-419-8520
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA7193235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010782600Medicaid