Provider Demographics
NPI:1265618250
Name:FINK, DANA LEE (MA, CCC-A)
Entity type:Individual
Prefix:MRS
First Name:DANA
Middle Name:LEE
Last Name:FINK
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 1:4231 CLEARWATER LN
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-6133
Mailing Address - Country:US
Mailing Address - Phone:630-904-9170
Mailing Address - Fax:
Practice Address - Street 1:1935 SPRINGBROOK SQUARE DR
Practice Address - Street 2:SUITE 109
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-5947
Practice Address - Country:US
Practice Address - Phone:630-904-4327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-21
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147000663231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist