Individual
JACQUELINE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP, CBIS
Contact information
Practice address
4131 15TH AVE NE, SEATTLE, WA 98105-6250
(206) 616-6273
Mailing address
4131 15TH AVE NE, SEATTLE, WA 98105-6250
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60388187
WA
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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