Individual
DANIELLE SCHWARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1908 WHITNEY WOODS DR, JEFFERSON CITY, MO 65101-2386
(573) 680-4913
Mailing address
1908 WHITNEY WOODS DR, JEFFERSON CITY, MO 65101-2386
(573) 680-4913
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2000145048
MO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
2000145048
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
466805207
—
MO
Enumeration date
04/09/2007
Last updated
02/27/2013
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