Dawn Boven, MA, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Big Rapids, MI
NPI 1578712972 · NPPES record last updated Sep 10, 2008
Key facts
- NPI
- 1578712972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 12072932 (MI)
- Practice address
- 745 Water Tower Rd
Big Rapids, MI 49307-2135 - Phone
- (231) 592-1061
- NPI assigned
- Sep 10, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12072932 | MI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Network - Rehabilitation Services | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12072932 | MI | Yes |
Addresses
Primary practice location
745 Water Tower Rd
Big Rapids, MI 49307-2135
Mailing address
326 W Waterloo St
Big Rapids, MI 49307-1064
Phone (231) 250-0939
Other providers in Big Rapids, MI
- Emily Joy Bongard
- Julie A Boss
- Christy Bourdlais
- Amanda Grace Bouvrette
- Andrea Bouwknegt
- Brooklynn Boyd
- Matthew D Bradley
- Kristi Kae Brege
- Kara Nicole Bremer
- Bright Smiles
All providers in Big Rapids, MI · Speech-Language Pathologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.