Provider Demographics
NPI:1447717590
Name:DAWSON-TERRY, CAHANA
Entity type:Individual
Prefix:
First Name:CAHANA
Middle Name:
Last Name:DAWSON-TERRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 WABASH AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45405-3956
Mailing Address - Country:US
Mailing Address - Phone:937-369-5772
Mailing Address - Fax:
Practice Address - Street 1:1245 WABASH AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45405-3956
Practice Address - Country:US
Practice Address - Phone:937-369-5772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-25
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor