Individual
IVY MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
590 PEARL ST. #320, EUGENE, OR 97401
(541) 799-0995
(541) 543-2192
Mailing address
1108 7TH STREET, SPRINGFIELD, OR 97477
(541) 520-2815
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
012991
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12991
STATE OF OREGON BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY
OR
Enumeration date
11/03/2010
Last updated
12/04/2025
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