Paul Arthur Dagenais, PH.D., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

875 Issued in AL

Practice address

5721 USA North Dr
Hahn 1119
Mobile, AL 36688-0002

Phone

(251) 445-9378

Fax

(251) 445-9377

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1346300381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40277",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400277",
            "telephone_number": "251-445-9378",
            "fax_number": "251-445-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 USA NORTH DR",
            "address_2": "HAHN 1119",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366880002",
            "telephone_number": "251-445-9378",
            "fax_number": "251-445-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGENAIS",
        "first_name": "PAUL",
        "middle_name": "ARTHUR",
        "name_prefix": "Mr.",
        "credential": "PH.D., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance Collins Dabezies, M.D.
• Michele Morgan Dacy-Nichols, SLP
• Gul H Dadlani, M.D.
• Lanya Rochean Daffin, LPC
• Tomiko Sandrell Daffin, LCSW
• Tara Daigle, MS, CCC-SLP
• Natalie R Dailey Bassa, PHARM.D.
• Leanne G Dailey, PHARMD
• Antonio Deon Dale
• Steven P Dale, CRNA

• Speech-Language Pathologist in Mobile, AL
• Providers in Mobile, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.