Provider Demographics
NPI:1871896324
Name:SEMANCIK, DAWN R (MA, CCC-A)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:R
Last Name:SEMANCIK
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 N 32ND ST STE 220
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-3965
Mailing Address - Country:US
Mailing Address - Phone:623-512-4100
Mailing Address - Fax:623-512-4107
Practice Address - Street 1:12691 W SMOKEY DR STE 131
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85378-3800
Practice Address - Country:US
Practice Address - Phone:623-583-1737
Practice Address - Fax:623-583-0607
Is Sole Proprietor?:No
Enumeration Date:2010-12-06
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA10694237600000X
WALD60130143231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist