Doctor Name: | MISS AIMEE NOELLE DANIEL |
NPI Number: | 1750722633 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED. CCC-SLP |
License Number: | SA 12276 |
Business Practice Address: | 405 11th St Sw Suite 205 Live Oak, FL - 320643161 |
Business Phone Number: | 3863979416 |
Business Fax Number: | |
Mailing Address: | 108 5th St Sw, JASPER |
State: | FL |
Postal Code: | 320526068 |
Phone Number: | 3863979416 |
Fax Number: | |
NPI Enumeration Date: | 07/08/2013 |
NPI Last Update Date: | 07/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 12276 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |