Dawn Renee Bereznak, M.A.-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP11142 Issued in CA

Practice address

13 Stratford Way
Chico, CA 95973-8111

Phone

(530) 520-7179

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1255483343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 FROSTWOOD DR",
            "city": "LAKE ALMANOR",
            "state": "CA",
            "postal_code": "961379646",
            "telephone_number": "530-520-7179",
            "fax_number": "530-259-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 STRATFORD WAY",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959738111",
            "telephone_number": "530-520-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEREZNAK",
        "first_name": "DAWN",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "M.A.-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP11142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda Lee Benson, MS CCC-SLP
• Cody-Eugene Micheal Bente
• Lillian Ruth Bentley, LMFT
• Matthew C. Bently
• Allison Patricia Benz Rossan, LMFT
• Carrie Jo Berg
• Cheryl Sue Berge, LMFT
• Makayla Berlier
• Jessica Dawn Bernhardt, CEO, RN, CDP
• Avery Alan Bernstein

• Speech-Language Pathologist in Chico, CA
• Providers in Chico, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.