Dawn McKibben

Speech-Language Pathologist · Pettisville, OH

Individual Active NPI

NPI number 1750705729

Practice location

232 Summit Street
Pettisville, OH 43553
Phone
(419) 446-2705

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NPI record

NPI
1750705729
Entity type
Individual (Type 1)
Enumeration date
February 12, 2014
Last updated
June 13, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X SP.6564 OH
Speech-Language Pathologist 235Z00000X SP.06564 OH

Mailing address

205 Nolan Pkwy
Archbold, OH 43502-8404
Phone
(567) 444-4806

Other practice locations (1)

  • 205 Nolan Pkwy, Archbold, OH 43502-8404 · (567) 444-4806

About Dawn McKibben

Dawn McKibben is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 232 Summit Street, Pettisville, OH 43553. The NPI number 1750705729 was assigned on February 12, 2014 and the record was last updated on June 13, 2019.

Dawn McKibben lists 2 licenses in the registry: #SP.6564 (OH) for Speech-Language Pathologist; #SP.06564 (OH) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Dawn McKibben?

The NPI number is 1750705729.

What is the phone number of Dawn McKibben?

The phone number listed for the practice location is (419) 446-2705.

Where is Dawn McKibben located?

232 Summit Street, Pettisville, OH 43553.

What is the taxonomy code for Dawn McKibben?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.