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Individual

DANIELLE ALYSON SHREVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7819 STATE ROUTE 19, GALION, OH 44833
(419) 947-1900
Mailing address
890 W 4TH ST, ONTARIO, OH 44906-2565
(419) 947-1900

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.13190
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14147790
AMERICAN SPEECH-LANGUAGE AND HEARING ASSOCIATION CERTIFICATION
Enumeration date
08/17/2017
Last updated
09/19/2021
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