Individual
DANIELLE LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
773 SAINT JOHNS RD, DRUMS, PA 18222-1803
(570) 788-8320
(570) 788-8321
Mailing address
PO BOX 394, GORDON, PA 17936-0394
(570) 590-2659
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL007731
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017212580003
—
PA
Enumeration date
04/18/2007
Last updated
07/09/2007
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