Doctor Name: | DANIELLE V DROSDICK |
NPI Number: | 1942478037 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., M.A., CCC-SLP |
License Number: | 11520 |
Business Practice Address: | 3144 State St Medford, OR - 975048450 |
Business Phone Number: | 5417738255 |
Business Fax Number: | 5417738256 |
Mailing Address: | 3144 State St, MEDFORD |
State: | OR |
Postal Code: | 975048450 |
Phone Number: | 5417738255 |
Fax Number: | 5417738256 |
NPI Enumeration Date: | 02/12/2008 |
NPI Last Update Date: | 06/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 11520 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
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 |